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Preserved Hemostasis During the Combined Use of Aprotinin and Aspirin in CABG Operations

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Blood Use in Cardiac Surgery

Abstract

After the remarkable improvement of hemostasis in cardiopulmonary bypass (CPB) obtained with the proteinase inhibitor aprotinin [17], its use spread rapidly in cardiac clinics throughout Europe [2, 3]. Although the mode of action has not been completely revealed, we concurrently showed the relation of improved hemostasis with preserved platelet adhesive receptors [18, 19]. Increasing numbers of patients with coronary artery diseases are now treated with aspirin [14] and are submitted with this treatment for coronary artery bypass grafting operation (CABG).

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References

  1. Adcock GD, Adcock OT Jr, Wheeler JR, Gregory RT, Snyder SO Jr, Gayle RG, Trivedi AN (1987) Arterialization of reversed autogenous vein grafts. J Vasc Surg 6: 283–295

    PubMed  CAS  Google Scholar 

  2. Alajmo F, Calamai G, Perna AM, Melissano G, Pretelli P, Palmarini MF, Carbonetto F, Noferi D, Boddi V, Palminiello A, Vaccari M (1989) High-dose aprotinin: Hemostatic effects in openheart operations. Ann Thorac Surg 48: 536–539

    Article  PubMed  CAS  Google Scholar 

  3. Bidstrup BP, Royston D, Sapsford RN, Taylor KM (1989) Reduction in blood loss and blood use after cardiopulmonary bypass with high dose aprotinin. (Trasylol) J Thorac Cardiovasc Surg 97: 364–372

    PubMed  CAS  Google Scholar 

  4. Bulkley BH, Hutchins GM (1977) Accelated atherosclerosis. A morphologic study of 97 saphenous vein coronary artery bypass grafts. Circulation 55: 163–169

    Article  PubMed  CAS  Google Scholar 

  5. Chesebro JH, Clements IP, Fuster V, Elveback LR, Smith HC, Bardsley WT, Frye RL, Holmes DR Jr, Vliestra RE, Pluth JR, Wallace RB, Puga FJ, Orszulak TA, Piehler JM, Schaff HV, Danielson GK (1982) A platelet-inhibitor drug trial in coronary artery bypass operations. N Engl J Med 307: 73–77

    Article  PubMed  CAS  Google Scholar 

  6. Ferraris VA, Ferraris SP, Lough FC, Berry WR (1988) Preoperative aspirin ingestion increases operative blood loss after coronary artery bypass grafting. Ann Thorac Surg 45: 71–74

    Article  PubMed  CAS  Google Scholar 

  7. Feuerstein IA (1987) Aspirin does not inhibit platelet adherence to and detachment from collagen-coated glass. Thromb Res 46: 751–754

    Article  PubMed  CAS  Google Scholar 

  8. Fuster V, Dewanjee MK, Kaye MP, Josa M, Metke MP, Chesebro JH (1979) Noninvasive radioisotope technique for detection of platelet deposition in coronary artery bypass grafts in dogs and its reduction with platelet inhibitors. Circulation 60: 1508–1512

    Article  PubMed  CAS  Google Scholar 

  9. Fuster V, Chesebro JJ (1985) Aortocoronary artery vein-graft disease: experimental and clinical approach for the understanding of the role of platelets and platelet inhibitors. Circulation 72: V 65–70

    Google Scholar 

  10. Goldman S, and the Veterans administration group (1988) Improvement in early saphenous vein graft patency after coronary artery bypass surgery with antiplatelet therapy. Circulation 77: 1324–1332

    Article  PubMed  CAS  Google Scholar 

  11. Groves HM, Kinlough-Rathbone RL, Mustard JF (1986) Development of non-thrombogenicity of injured rabbits aorta despite inhibition of platelet adherence. Arterioslcerosis 6: 189–195

    Article  CAS  Google Scholar 

  12. Josa M, Lie JT, Bianco RL, Kaye MP (1981) Reduction of thrombosis in canine coronary bypass vein grafts with dipyridamole and aspirin. Am J Cardiol 47: 1248–1254

    Article  PubMed  CAS  Google Scholar 

  13. Kinlough-Rathbone RL, Cazenave JP, Packham MA, Mustard JF (1980) Effect of inhibitors of arachidonate pathway on the release of granule contents from rabbit platelets adherent to collagen. Lab Invest 42: 28–34

    PubMed  CAS  Google Scholar 

  14. Lewis HD Jr, and the Veterans administration cooperative study group (1985) Unstable angina: status of aspirin and other forms of therapy. Circulation 72: V — 155–163

    Google Scholar 

  15. Mohr R, Golan M, Martinowitz U, Rosner E, Goor DA, Ramot B (1986) Effect of cardiac operation on platelets. J Thorac Cardiovasc Surg 92: 434–441

    PubMed  CAS  Google Scholar 

  16. Salzman EW, Weinstein MJ, Weintraub RM, Ware JA, Thurer RL, Roberston L, Donovan A, Gaffney T, Bertele V, Troll J, Smith M, Chute LE (1986) Treatment with desmopressin acetate to reduce blood loss after cardiac surgery. N Engl J Med 314: 1402–1406

    Article  PubMed  CAS  Google Scholar 

  17. Van Oeveren W, Jansen NJG, Bidstrup BP, Royston D, Westaby S, Neuhof H, Wildevuur CRH (1987) Effects of aprotinin on hemostatic mechanisms during cardiopulmonary bypass. Ann Thorac Surg 44: 640–645

    Article  PubMed  Google Scholar 

  18. Van Oeveren M, Eijsman L, Roozendal KJ, Wildevuur CRH (1988) Platelet preservation by aprotinin during cardiopulmonary bypass. Lancet 1: 644

    Article  PubMed  Google Scholar 

  19. Wildevuur CRH, Eijsman L, Roozendaal KJ, Harder MP, Chang M, Van Oeveren W (1989) Platelet preservation during cardiopulmonary bypass with aprotinin. Eur J Cardio-thorac Surg 3: 533–538

    Article  CAS  Google Scholar 

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© 1991 Springer-Verlag Berlin Heidelberg

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Tabuchi, N., van Oeveren, W., Eijsman, L., Roozendaal, K.J., Gu, Y.J., Wildevuur, C.R.H. (1991). Preserved Hemostasis During the Combined Use of Aprotinin and Aspirin in CABG Operations. In: Friedel, N., Hetzer, R., Royston, D. (eds) Blood Use in Cardiac Surgery. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-662-06119-0_39

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  • DOI: https://doi.org/10.1007/978-3-662-06119-0_39

  • Publisher Name: Steinkopff, Heidelberg

  • Print ISBN: 978-3-662-06121-3

  • Online ISBN: 978-3-662-06119-0

  • eBook Packages: Springer Book Archive

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