Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2008-10-6
pubmed:abstractText
Surface-coated cardiopulmonary bypass (CPB) has been shown to have excellent biocompatibility during cardiac surgery in adults, but there have been only a few reports demonstrating the efficacy of this coating for congenital cardiac surgery. We tested the efficacy of poly-2-methoxyethylacrylate (PMEA) coating for CPB circuits in congenital cardiac surgery. Eleven operative cases of ventricular septal defect were studied: group C (control: no coating, n = 5) and group P (PMEA coating, n = 6). The platelet count and beta-thromboglobulin (beta TG), fibrinogen (FBG), thrombin-antithrombin complex (TAT), and neutrophil elastase levels were measured during the operation. Postoperative chest tube drainage was analyzed and the surface of the artificial lung was observed with an electron microscope. Elevation of TAT and neutrophil elastase was suppressed in group P (P < 0.05). Observation of the artificial lung surface using an electron microscope clearly revealed fewer blood cells were adherent to the surface in group P. The FBG level and postoperative bleeding were relatively lower in group P, but there were no significant differences between groups. The platelet count and beta TG level were the same in both groups. We concluded that the PMEA-coated circuit reduces activation of the coagulation system and the inflammatory reaction in pediatric cardiac surgery.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
1434-7229
pubmed:author
pubmed:issnType
Print
pubmed:volume
11
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
111-6
pubmed:meshHeading
pubmed-meshheading:18836870-Acrylates, pubmed-meshheading:18836870-Antithrombin III, pubmed-meshheading:18836870-Blood Cell Count, pubmed-meshheading:18836870-Blood Coagulation, pubmed-meshheading:18836870-Cardiac Surgical Procedures, pubmed-meshheading:18836870-Cardiopulmonary Bypass, pubmed-meshheading:18836870-Cell Adhesion, pubmed-meshheading:18836870-Coated Materials, Biocompatible, pubmed-meshheading:18836870-Female, pubmed-meshheading:18836870-Fibrinogen, pubmed-meshheading:18836870-Heart Septal Defects, Ventricular, pubmed-meshheading:18836870-Hematocrit, pubmed-meshheading:18836870-Humans, pubmed-meshheading:18836870-Infant, pubmed-meshheading:18836870-Leukocyte Elastase, pubmed-meshheading:18836870-Male, pubmed-meshheading:18836870-Microscopy, Electron, Scanning, pubmed-meshheading:18836870-Peptide Hydrolases, pubmed-meshheading:18836870-Polymers, pubmed-meshheading:18836870-Systemic Inflammatory Response Syndrome, pubmed-meshheading:18836870-beta-Thromboglobulin
pubmed:year
2008
pubmed:articleTitle
Poly-2-methoxyethylacrylate-coated bypass circuits reduce activation of coagulation system and inflammatory response in congenital cardiac surgery.
pubmed:affiliation
Department of Thoracic and Cardiovascular Surgery, Hirosaki University School of Medicine, 5 Zaifu-cho, Hirosaki, 036-8562, Japan. ysuzuki@cc.hirosaki-u.ac.jp
pubmed:publicationType
Journal Article