Issue |
J Extra Corpor Technol
Volume 22, Number 1, March 1990
|
|
---|---|---|
Page(s) | 27 - 33 | |
DOI | https://doi.org/10.1051/ject/1990221027 | |
Published online | 21 August 2023 |
Technique
A Flexible System for Combined Retrograde and Antegrade Delivery of Blood or Crystalloid Cardioplegic Solution
West Houston Medical Center Department of Surgery, Memorial Southwest Hospitals, Houston Life Support Systems, and Cardiovascular Surgery of Texas, Houston, Texas
* Address correspondence to: Raul-Garcia Rinaldi, MD, PhD, FACS, Cardiovascular Surgery,l2121 Richmond Ave., Ste. 201 Houston, TX 77082
A flexible but simple cardioplegic delivery system has been designed that offers the advantages of alternating antegrade and retrograde delivery or blood and crystalloid (Plegisol™ solution) cardioplegia to optimize myocardial preservation. Initial antegrade delivery of crystalloid cardioplegic solution achieves rapid cardiac arrest while subsequent retrograde delivery with blood cardioplegia improves myocardial protection due to uniform distribution of the solution. Occasionally, temporary transferral from blood to crystalloid is indicated to clarify the surgical field. This system is designed to allow the repeated rapid switching from crystalloid to blood cardioplegia or vice versa using the antegrade or retrograde routes.
Key words: Retrograde coronary sinus perfusion / blood cardioplegia / crystalloid cardioplegic solution / myocardial protection / cardioplegic delivery system
© 1990 AMSECT
Current usage metrics show cumulative count of Article Views (full-text article views including HTML views, PDF and ePub downloads, according to the available data) and Abstracts Views on Vision4Press platform.
Data correspond to usage on the plateform after 2015. The current usage metrics is available 48-96 hours after online publication and is updated daily on week days.
Initial download of the metrics may take a while.