ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Robert L. Thurer
Bruce W. Lytle
Delos M. Cosgrove
Floyd D. Loop
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Thurer, R. L.
Right arrow Articles by Loop, F. D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Thurer, R. L.
Right arrow Articles by Loop, F. D.

Ann Thorac Surg 1979;27:500-507
© 1979 The Society of Thoracic Surgeons

Articles

Autotransfusion Following Cardiac Operations: A Randomized, Prospective Study

Robert L. Thurer, M.D., Bruce W. Lytle, M.D., Delos M. Cosgrove, M.D.*, Floyd D. Loop, M.D.

From the Cleveland Clinic Foundation, Cleveland, OH

Accepted for publication December 14, 1978.

* Address reprint requests to Dr. Cosgrove, The Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH 44106

To evaluate the safety and effectiveness of the collection and retransfusion of post-operatively shed mediastinal blood as part of a multifaceted approach to blood conservation following cardiac operation, 113 patients were randomized into either an autotransfusion group (54 patients) or a control group (59 patients). Intraoperative and post-operative hemodilution was practiced in all patients. The clinical safety of this technique was confirmed by the lack of septic, hematological, pulmonary, renal, or hepatic complications. However, in this setting where blood conservation is already aggressively practiced, the ability of the technique to further reduce the use of banked blood following cardiac surgical procedures was not demonstrated.




This article has been cited by other articles:


Home page
 Card Surg AdultHome page
L. Y. Lee, W. J. DeBois, K. H. Krieger, and O. W. Isom
Transfusion Therapy and Blood Conservation
Card. Surg. Adult, January 1, 2008; 3(2008): 415 - 430.
[Full Text]

Home page
 Ann. Thorac. Surg.Home page
The Society of Thoracic Surgeons Blood Conservatio, V. A. Ferraris, S. P. Ferraris, S. P. Saha, E. A. Hessel II, C. K. Haan, B. D. Royston, C. R. Bridges, R. S.D. Higgins, G. Despotis, et al.
Perioperative Blood Transfusion and Blood Conservation in Cardiac Surgery: The Society of Thoracic Surgeons and The Society of Cardiovascular Anesthesiologists Clinical Practice Guideline
Ann. Thorac. Surg., May 1, 2007; 83(5_Supplement): S27 - S86.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. C. Arora, J.-F. Legare, K. J. Buth, J. A. Sullivan, and G. M. Hirsch
Identifying Patients at Risk of Intraoperative and Postoperative Transfusion in Isolated CABG: Toward Selective Conservation Strategies
Ann. Thorac. Surg., November 1, 2004; 78(5): 1547 - 1554.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
S. Dial, D. Nguyen, and D. Menzies
Autotransfusion of Shed Mediastinal Blood: A Risk Factor for Mediastinitis After Cardiac Surgery? Results of a Cluster Investigation
Chest, November 1, 2003; 124(5): 1847 - 1851.
[Abstract] [Full Text] [PDF]

Home page
 Card Surg AdultHome page
L. Y. Lee, W. J. DeBois, K. H. Krieger, and O. W. Isom
Transfusion Therapy and Blood Conservation
Card. Surg. Adult, January 1, 2003; 2(2003): 389 - 400.
[Full Text]

Home page
 Ann. Thorac. Surg.Home page
K. Shibata, S. Takamoto, Y. Kotsuka, and H. Sato
Effectiveness of combined blood conservation measures in thoracic aortic operations with deep hypothermic circulatory arrest
Ann. Thorac. Surg., March 1, 2002; 73(3): 739 - 743.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. S. Andreasen, H. Schmidt, J. O. Jarlov, and R. Skov
Autologous transfusion of shed mediastinal blood after coronary artery bypass grafting and bacterial contamination
Ann. Thorac. Surg., October 1, 2001; 72(4): 1327 - 1330.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
J. Martin, D. Robitaille, L. P. Perrault, M. Pellerin, P. Page, N. Searle, R. Cartier, Y. Hebert, L. C. Pelletier, H. T. Thaler, et al.
Reinfusion of mediastinal blood after heart surgery
J. Thorac. Cardiovasc. Surg., September 1, 2000; 120(3): 499 - 504.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
H. I. Flom-Halvorsen, E. Ovrum, G. Tangen, F. Brosstad, M.-A. L. Ringdal, and R. Oystese
AUTOTRANSFUSION IN CORONARY ARTERY BYPASS GRAFTING: DISPARITY IN LABORATORY TESTS AND CLINICAL PERFORMANCE
J. Thorac. Cardiovasc. Surg., October 1, 1999; 118(4): 610 - 617.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
C. Huet, L. R. Salmi, D. Fergusson, A. W. M. M. Koopman-van Gemert, F. Rubens, and A. Laupacis
A Meta-Analysis of the Effectiveness of Cell Salvage to Minimize Perioperative Allogeneic Blood Transfusion in Cardiac and Orthopedic Surgery
Anesth. Analg., October 1, 1999; 89(4): 861 - 861.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome page
M. J. R. Dalrymple-Hay, L. Pack, C. D. Deakin, S. Shephard, S. K. Ohri, M. P. Haw, S. A. Livesey, and J. L. Monro
Autotransfusion of washed shed mediastinal fluid decreases the requirement for autologous blood transfusion following cardiac surgery: a prospective randomized trial
Eur J Cardiothorac Surg, June 1, 1999; 15(6): 830 - 834.
[Abstract] [Full Text] [PDF]

Home page
 PerfusionHome page
A. Belboul and N. Al-Khaja
Does heparin coating improve biocompatibility? A study on complement, blood cells and postoperative morbidity during cardiac surgery
Perfusion, December 1, 1997; 12(6): 385 - 391.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. A. Vertrees, V. R. Conti, S. D. Lick, J. B. Zwischenberger, L. B. McDaniel, and G. Shulman
Adverse Effects of Postoperative Infusion of Shed Mediastinal Blood
Ann. Thorac. Surg., September 1, 1996; 62(3): 717 - 723.
[Abstract] [Full Text]

Home page
 Ann. Thorac. Surg.Home page
H. Schmidt, J. O. Lund, and S. L. Nielsen
Autotransfused Shed Mediastinal Blood Has Normal Erythrocyte Survival
Ann. Thorac. Surg., July 1, 1996; 62(1): 105 - 108.
[Abstract] [Full Text]

Home page
 Ann. Thorac. Surg.Home page
H. Schmidt, P. E. Mortensen, S. L. Folsgaard, and E. A. Jensen
Autotransfusion After Coronary Artery Bypass Grafting Halves the Number of Patients Needing Blood Transfusion
Ann. Thorac. Surg., April 1, 1996; 61(4): 1177 - 1181.
[Abstract] [Full Text]

Home page
 American Journal of Medical QualityHome page
L. T. Goodnough, M. S. Bodner, and J. W. Martin
Blood Transfusion and Blood Conservation: Cost and Utilization Issues
American Journal of Medical Quality, December 1, 1994; 9(4): 172 - 183.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. P. A. M. Schonberger, W. van Oeveren, J. J. Bredee, P. A. M. Everts, J. de Haan, and C. R. H. Wildevuur
Systemic blood activation during and after autotransfusion
Ann. Thorac. Surg., May 1, 1994; 57(5): 1256 - 1262.
[Abstract] [PDF]

Home page
 Arch SurgHome page
H. C. Ramos, S. Todo, Y. Kang, E. Felekouras, H. R. Doyle, and T. E. Starzl
Liver Transplantation Without the Use of Blood Products
Arch Surg, May 1, 1994; 129(5): 528 - 533.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T. C. Axford, J. A. Dearani, G. Ragno, H. MacGregor, M. A. Patel, C. R. Valeri, and S. F. Khuri
Safety and therapeutic effectiveness of reinfused shed blood after open heart surgery
Ann. Thorac. Surg., March 1, 1994; 57(3): 615 - 622.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. P. A. M. Schonberger, J. J. Bredee, D. Tjian, P. A. M. Everts, and C. R. H. Wildevuur
Intraoperative predonation contributes to blood saving
Ann. Thorac. Surg., October 1, 1993; 56(4): 893 - 898.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
H. Siderys
Pericardial fluid and hemolysis
Ann. Thorac. Surg., September 1, 1993; 56(3): 595 - 595.
[PDF]

Home page
 Ann. Thorac. Surg.Home page
L. T. Goodnough
Blood conservation and blood transfusion practices: Flip sides of the same coin
Ann. Thorac. Surg., July 1, 1993; 56(1): 3 - 4.
[PDF]

Home page
 Ann. Thorac. Surg.Home page
H. B. Ward, R. R. A. Smith, K. P. Landis, T. G. Nemzek, A. P. Dalmasso, and W. R. Swaim
Prospective, randomized trial of autotransfusion after routine cardiac operations
Ann. Thorac. Surg., July 1, 1993; 56(1): 137 - 141.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
E. G. Ford, A. L. Picone, and C. E. Baisden
Role of autogenous tissue factors in hemolysis during cardiopulmonary bypass operations
Ann. Thorac. Surg., February 1, 1993; 55(2): 410 - 412.
[Abstract] [PDF]

Home page
 PerfusionHome page
J. P. Schonberger, P. A. Everts, J. J Bredee, E. Jansen, R. Goedkoop, J. H Bavinck, E. Berreklouw, and C. R. Wildevuur
The effect of postoperative normovolaemic anaemia and autotransfusion on blood saving after internal mammary artery bypass surgery
Perfusion, October 1, 1992; 7(4): 257 - 262.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
E. Ovrum, E. A. Holen, M. Abdelnoor, and R. Oystese
Conventional blood conservation techniques in 500 consecutive coronary artery bypass operations
Ann. Thorac. Surg., September 1, 1991; 52(3): 500 - 505.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
W. J. scott, R. Kessler, and J. A. wernly
Blood conservation in cardiac surgery
Ann. Thorac. Surg., November 1, 1990; 50(5): 843 - 851.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
Y. Nakamura, M. Masuda, Y. Toshima, T. Asou, M. Oe, K. Kinoshita, Y. Kawachi, J. Tanaka, and K. Tokunaga
Comparative study of cell saver and ultrafiltration nontransfusion in cardiac surgery
Ann. Thorac. Surg., June 1, 1990; 49(6): 973 - 978.
[Abstract] [PDF]

Home page
 JAMAHome page
The Use of Autologous Blood: The National Blood Resource Education Program Expert Panel
JAMA, January 19, 1990; 263(3): 414 - 417.
[Abstract] [PDF]

Home page
 PerfusionHome page
M. A Fox
Mediastinal autotransfusion
Perfusion, January 1, 1990; 5(1_suppl): 21 - 23.
[PDF]

Home page
 PerfusionHome page
E. Smith and Z. Rayter
Postoperative autotransfusion of mediastinal blood: a review
Perfusion, January 1, 1990; 5(1_suppl): 25 - 30.
[PDF]

Home page
 JAMAHome page
D. V. Owings, M. S. Kruskall, R. L. Thurer, and L. M. Donovan
Autologous Blood Donations Prior to Elective Cardiac Surgery: Safety and Effect on Subsequent Blood Use
JAMA, October 13, 1989; 262(14): 1963 - 1968.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. Page, G. N. Russell, M. A. Fox, B. M. Fabri, I. Lewis, and T. Williets
Hard-Shell Cardiotomy Reservoir for Reinfusion of Shed Mediastinal Blood
Ann. Thorac. Surg., October 1, 1989; 48(4): 514 - 517.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
L. D. Griffith, G. F. Billman, P. O. Daily, and T. A. Lane
Apparent coagulopathy caused by infusion of shed mediastinal blood and its prevention by washing of the infusate
Ann. Thorac. Surg., March 1, 1989; 47(3): 400 - 406.
[Abstract] [PDF]

Home page
 PerfusionHome page
A. Berty, C. Doutremepuich, and E. Baudet
Transfusional quality of residual blood from heart lung machine after extracorporeal circulation
Perfusion, July 1, 1986; 1(3): 179 - 185.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
D. M. Cosgrove, D. M. Amiot, and J. J. Meserko
An Improved Technique for Autotransfusion of Shed Mediastinal Blood
Ann. Thorac. Surg., November 1, 1985; 40(5): 519 - 520.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
D. M. Cosgrove, F. D. Loop, B. W. Lytle, C. C. Gill, L. R. Golding, P. C. Taylor, and S. B. Forsythe
Determinants of Blood Utilization during Myocardial Revascularization
Ann. Thorac. Surg., October 1, 1985; 40(4): 380 - 384.
[Abstract] [PDF]

Home page
 VASC ENDOVASCULAR SURGHome page
P. S. Chua, C. J. Carlos, F. R. Gozo, and V. K. O' Yek
"Asanguinous" Open-Heart Surgery
Vascular and Endovascular Surgery, September 1, 1985; 19(5): 309 - 312.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. G. Johnson, K. R. Rosenkrantz, R. A. Preston, C. Hopkins, and W. M. Daggett
The Efficacy of Postoperative Autotransfusion in Patients Undergoing Cardiac Operations
Ann. Thorac. Surg., August 1, 1983; 36(2): 173 - 179.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. T. Diehl, J. L. Lester III, and D. M. Cosgrove
Clinical Comparison of Hetastarch and Albumin in Postoperative Cardiac Patients
Ann. Thorac. Surg., December 1, 1982; 34(6): 674 - 679.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
L. D. Voegele, G. Causby, T. Utsey, W. H. Prioleau Jr., and P. Hairston
An Improved Method for Collection of Shed Mediastinal Blood for Autotransfusion
Ann. Thorac. Surg., October 1, 1982; 34(4): 471 - 472.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. R. Utley, W. Y. Moores, and D. B. Stephens
Blood Conservation Techniques
Ann. Thorac. Surg., May 1, 1981; 31(5): 482 - 490.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1979 by The Society of Thoracic Surgeons.