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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Gaudino, Mario Anselmi, Amedeo Glieca, Franco Luciani, Nicola Perisano, Mario Piscitelli, Mariantonietta Possati, Gianfederico |
| Description | Country affiliation: Italy Author Affiliation: Gaudino M ( Division of Cardiac Surgery, Catholic University, Rome, Italy.) |
| Abstract | OBJECTIVE: To evaluate a hemodynamic method for the assessment of the position of the retrograde cardioplegia catheter (RCC) versus conventional Manual Assessment. METHODS: We randomized 200 patients undergoing aortic valve surgery to Manual (n = 101) or Hemodynamic Assessment (n = 99). In the Hemodynamic group a 25% pressure increase at the tip of the RCC when a fistula with the ascending aorta was created via a luer-lock was considered indicative of correct RCC placement. Transesophageal echocardiography was used as a comparison evaluation method. RESULTS: The Hemodynamic and Manual Assessment considered the RCC positioning successful in 89.9% versus 85.1% of cases. Echocardiography confirmed these results in Hemodynamic group but revealed 23 cases of misrecognized incorrect placement in the Manual group (p < 0.0001). Manual maneuvers resulted in 18 cases of secondary displacement and 19 cases of hemodynamic instability (p < 0.0001). CONCLUSIONS: The Hemodynamic Method is quantitative, reproducible, highly reliable, and safer than palpation in the posterior atrioventricular groove. |
| File Format | HTM / HTML |
| ISSN | 08860440 |
| Issue Number | 6 |
| Volume Number | 23 |
| e-ISSN | 15408191 |
| Journal | Journal of Cardiac Surgery |
| Language | English |
| Publisher | Wiley |
| Publisher Date | 2008-11-01 |
| Publisher Place | United States |
| Access Restriction | Subscribed |
| Subject Keyword | Discipline Cardiology Discipline Surgery Aorta Surgery Aortic Valve Cardiac Catheterization Heart Arrest, Induced Methods Hemodynamics Aged Algorithms Pathology Echocardiography, Transesophageal Female Health Status Indicators Humans Male Middle Aged Postoperative Complications Prospective Studies Reproducibility Of Results Clinical Trial Comparative Study Journal Article Randomized Controlled Trial |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pulmonary and Respiratory Medicine Surgery Cardiology and Cardiovascular Medicine |
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