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The Annals of Thoracic Surgery, Vol 55, 552-559, Copyright © 1993 by The Society of Thoracic Surgeons
J Butler, GM Rocker and S Westaby
Cardiac operations with cardiopulmonary bypass cause a systemic
inflammatory response, which can lead to organ injury and postoperative
morbidity. Causative factors include surgical trauma, contact of blood with
the extracorporeal circuit, and lung reperfusion injury on discontinuing
bypass. Advances in immunological techniques have allowed measurement of
both plasma and intracellular components of this multifaceted perioperative
response. This includes activation of the complement, coagulation,
fibrinolytic, and kallikrein cascades, activation of neutrophils with
degranulation and protease enzyme release, oxygen radical production, and
the synthesis of various cytokines from mononuclear cells (including tumor
necrosis factor, interleukin-1, and interleukin-6). Advances in our
understanding of the interactions between these markers of cellular and
humoral responses to cardiopulmonary bypass will enable more effective
intervention to reduce the deleterious effects and improve the outlook for
patients undergoing cardiac operations beyond the 1990s.
ARTICLES
Inflammatory response to cardiopulmonary bypass
Department of Cardiothoracic Surgery, Oxford Heart Centre, John Radcliffe Hospital, England.
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G. Asimakopoulos The inflammatory response to CPB: the role of leukocyte filtration Perfusion, March 1, 2002; 17(2_suppl): 7 - 10. [Abstract] [PDF]
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M. Chello, P. Mastroroberto, A. Quirino, G. Cuda, F. Perticone, F. Cirillo, and E. Covino Inhibition of neutrophil apoptosis after coronary bypass operation with cardiopulmonary bypass Ann. Thorac. Surg., January 1, 2002; 73(1): 123 - 129. [Abstract] [Full Text] [PDF]
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K McCusker, V Vijay, W DeBois, R Helm, and D Sisto MAST system: a new condensed cardiopulmonary bypass circuit for adult cardiac surgery Perfusion, December 1, 2001; 16(6): 447 - 452. [Abstract] [PDF]
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E. Tayama, N. Hayashida, S. Fukunaga, K. Tayama, T. Takaseya, R. Hiratsuka, and S. Aoyagi High-dose cimetidine reduces proinflammatory reaction after cardiac surgery with cardiopulmonary bypass Ann. Thorac. Surg., December 1, 2001; 72(6): 1945 - 1949. [Abstract] [Full Text] [PDF]
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R. Ascione, G. Nason, S. Al-Ruzzeh, C. Ko, F. Ciulli, and G. D. Angelini Coronary revascularization with or without cardiopulmonary bypass in patients with preoperative nondialysis-dependent renal insufficiency Ann. Thorac. Surg., December 1, 2001; 72(6): 2020 - 2025. [Abstract] [Full Text] [PDF]
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A. D. Chishti, J. H. Dark, P. Kesteven, H. Powell, C. Snowden, B. K. Shenton, J. A. Kirby, and S. V. Baudouin Expression of chemokine receptors CXCR1 and CXCR2 during cardiopulmonary bypass J. Thorac. Cardiovasc. Surg., December 1, 2001; 122(6): 1162 - 1166. [Abstract] [Full Text] [PDF]
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H. A. Hennein Inflammation After Cardiopulmonary Bypass: Therapy for the Postpump Syndrome Seminars in Cardiothoracic and Vascular Anesthesia, September 1, 2001; 5(3): 236 - 255. [Abstract] [PDF]
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E. Appachi and E. B. Mossad Inflammatory Mediators and S-100{beta} Protein Concentrations in Neonates and Infants With Congenital Heart Disease Seminars in Cardiothoracic and Vascular Anesthesia, September 1, 2001; 5(3): 256 - 261. [Abstract] [PDF]
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G Matheis, M Scholz, A Simon, O. Dzemali, and A Moritz Leukocyte filtration in cardiac surgery: a review Perfusion, September 1, 2001; 16(5): 361 - 370. [Abstract] [PDF]
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V. Casati, C. Gerli, A. Franco, G. Torri, A. D'Angelo, S. Benussi, and O. Alfieri Tranexamic acid in off-pump coronary surgery: a preliminary, randomized, double-blind, placebo-controlled study Ann. Thorac. Surg., August 1, 2001; 72(2): 470 - 475. [Abstract] [Full Text] [PDF]
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H. Iida, M. Iida, M. Takenaka, A. Oda, M. Uchida, H. Fujiwara, and S. Dohi The Effects of Alpha-Human Atrial Natriuretic Peptide and Milrinone on Pial Vessels During Blood-Brain Barrier Disruption in Rabbits Anesth. Analg., July 1, 2001; 93(1): 177 - 182. [Abstract] [Full Text] [PDF]
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J. Boldt, C. Brosch, A. Lehmann, G. Haisch, J. Lang, and F. Isgro Prophylactic use of pentoxifylline on inflammation in elderly cardiac surgery patients Ann. Thorac. Surg., May 1, 2001; 71(5): 1524 - 1529. [Abstract] [Full Text] [PDF]
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C. F. Mojcik and J. H. Levy Aprotinin and the systemic inflammatory response after cardiopulmonary bypass Ann. Thorac. Surg., February 1, 2001; 71(2): 745 - 754. [Abstract] [Full Text] [PDF]
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G Matheis, M Scholz, J Gerber, U Abdel-Rahman, G Wimmer-Greinecker, and A Moritz Leukocyte filtration in the early reperfusion phase on cardiopulmonary bypass reduces myocardial injury Perfusion, January 1, 2001; 16(1): 43 - 49. [Abstract] [PDF]
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A. Fabbri, J. Manfredi, C. Piccin, G. Soffiati, M. R. Carta, E. Gasparotto, and G. Nardon Systemic leukocyte filtration during cardiopulmonary bypass Perfusion, January 1, 2001; 16(1_suppl): 11 - 18. [Abstract] [PDF]
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G Matheis, M Scholz, A Simon, D Henrich, G Wimmer-Greinecker, and A Moritz Timing of leukocyte filtration during cardiopulmonary bypass Perfusion, January 1, 2001; 16(1_suppl): 31 - 37. [Abstract] [PDF]
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A O Chukwuemeka, M R. Turtle, U H Trivedi, G E Venn, and D J Chambers A clinical evaluation of platelet function, haemolysis and oxygen transfer during cardiopulmonary bypass comparing the Quantum HF-6700 to the HF-5700 hollow fibre membrane oxygenator Perfusion, December 1, 2000; 15(6): 479 - 484. [Abstract] [PDF]
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C. W. Marano, L. A. Garulacan, K. V. Laughlin, L. Igidbashian, C. Trace, S. M. Goldman, F. P. Sutter, G. A. Reichard Jr, and J. M. Mullin Plasma concentrations of soluble tumor necrosis factor receptor I and tumor necrosis factor during cardiopulmonary bypass Ann. Thorac. Surg., October 1, 2000; 70(4): 1313 - 1318. [Abstract] [Full Text] [PDF]
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C. B. Mahoney and J. E Donnelly Impact of closed versus open venous reservoirs on patient outcomes in isolated coronary artery bypass graft surgery Perfusion, September 1, 2000; 15(5): 467 - 472. [Abstract] [PDF]
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P. M. Bokesch, M. B. Kapural, E. B. Mossad, M. Cavaglia, E. Appachi, J. J. Drummond-Webb, and R. B.B. Mee Do peritoneal catheters remove pro-inflammatory cytokines after cardiopulmonary bypass in neonates? Ann. Thorac. Surg., August 1, 2000; 70(2): 639 - 643. [Abstract] [Full Text] [PDF]
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B. M. Matata and M. Galinanes Cardiopulmonary bypass exacerbates oxidative stress but does not increase proinflammatory cytokine release in patients with diabetes compared with patients without diabetesRegulatory effects of exogenous nitric oxide J. Thorac. Cardiovasc. Surg., July 1, 2000; 120(1): 1 - 11. [Abstract] [Full Text] [PDF]
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L. Wiklund, M. Johansson, M. Bugge, L.O. G. Radberg, G. Brandup-Wognsen, and E. Berglin Early outcome and graft patency in mammary artery grafting of left anterior descending artery with sternotomy or anterior minithoracotomy Ann. Thorac. Surg., July 1, 2000; 70(1): 79 - 83. [Abstract] [Full Text] [PDF]
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P. Borgdorff, G. van den Bos, and G. J. Tangelder Extracorporeal circulation can induce hypotension by both blood-material contact and pump-induced platelet aggregation J. Thorac. Cardiovasc. Surg., July 1, 2000; 120(1): 12 - 19. [Abstract] [Full Text] [PDF]
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E. A. Grossi, K. Kallenbach, S. Chau, C. C. Derivaux, M. G. Aguinaga, B. M. Steinberg, D. Kim, S. Iyer, M. Tayyarah, M. Artman, et al. Impact of heparin bonding on pediatric cardiopulmonary bypass: a prospective randomized study Ann. Thorac. Surg., July 1, 2000; 70(1): 191 - 196. [Abstract] [Full Text] [PDF]
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M. Czerny, H. Baumer, J. Kilo, A. Lassnigg, A. Hamwi, T. Vukovich, E. Wolner, and M. Grimm Inflammatory response and myocardial injury following coronary artery bypass grafting with or without cardiopulmonary bypass Eur. J. Cardiothorac. Surg., June 1, 2000; 17(6): 737 - 742. [Abstract] [Full Text] [PDF]
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