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- Title
Bretschneider and del Nido solutions: Are they safe for coronary artery bypass grafting? If so, how should we use them?
- Authors
Siddiqi, Shirin; Blackstone, Eugene H.; Bakaeen, Faisal G.
- Abstract
A variety of cardioplegic solutions are being used widely today to arrest the heart during coronary artery bypass grafting (CABG) and other cardiac operations. To minimize interruptions during the surgery for intermittent dosing of the cardioplegia and to facilitate less invasive cardiac procedures, single-shot solutions, including Bretschneider and del Nido solutions, have been introduced. This review examines the evidence regarding the safety and efficacy of Bretschneider and del Nido cardioplegia during CABG. The findings support their use in routine low-risk CABG, but finds insufficient evidence to support their safety in high-risk surgeries.
- Subjects
CORONARY artery bypass; INDUCED cardiac arrest; CARDIAC surgery; HYPOTHERMIA; RIGHT heart ventricle diseases; SAFETY; RELATIVE medical risk; CARDIOPLEGIC solutions; STROKE volume (Cardiac output)
- Publication
Journal of Cardiac Surgery, 2018, Vol 33, Issue 5, p229
- ISSN
0886-0440
- Publication type
journal article
- DOI
10.1111/jocs.13539