Retrograde Autologous Priming for Opposing the Adverse Effects of Extracorporeal Circulation during Open Heart Surgery

Yeliz Koçoğlu, Seymur Memmedov, Ekin Kayan, Burak Arkan, Tijen Alkan Bozkaya, Arda Özyüksel and Atıf Akçevin

Department of Cardiovascular Surgery, Marmara University, Turkey
Department of Cardiovascular Surgery, Medicana International Hospital, Turkey
Department of Cardiovascular Surgery, Istanbul Medipol University, Turkey
Department of Cardiovascular Surgery, Koç University, Turkey

^*Correspondance to: Arda Özyüksel 

 PDF  Full Text DOI: 10.25107/2474-1647.2004

Abstract

The Cardiopulmonary Bypass circuit has to be primed before implementation for releasing the air inside the system. One of the most important techniques in order to avoid the hemodilution caused by priming solutions during Cardiopulmonary Bypass (CPB) is Retrograde Autologous Priming (ROP). Fifty patients operated at Medipol University, Department of cardiovascular surgery who fulfilled the criteria of Euroscore <6, ejection fraction >30%, hematocrit level between 25% to 45%, without and medical history of coagulopathy or hemorrhagic disorder, being operated electively for the first time for cardiac surgery were included in the study. The patient population was divided into two groups; the control group received standard priming solution whereas the study group received the ROP technique. Lesser amounts of intraoperative and postoperative blood and blood product transfusions as well as postoperative drainage were observed in the study (ROP) group.

Keywords

Hematocrit; Hemoglobin; Transfusion; Cardiopulmonary bypass; Retrograde autologous prime; Cardiac surgery

Cite the article

Ko�o?lu Y, Memmedov S, Kayan E, Arkan B, Bozkaya TA, �zy�ksel A, et al. Retrograde Autologous Priming for Opposing the Adverse Effects of Extracorporeal Circulation during Open Heart Surgery. Clin Surg. 2018; 3: 2004.