Issue |
J Extra Corpor Technol
Volume 31, Number 1, March 1999
|
|
---|---|---|
Page(s) | 23 - 36 | |
DOI | https://doi.org/10.1051/ject/1999311023 | |
Published online | 14 August 2023 |
Review Article
Post Cardiopulmonary Bypass Bleeding: An Introductory Review
1
Jack D. Weiler Hospital of the Albert Einstein College of Medicine, Bronx, New York ; Portsmouth Regional Hospital, Portsmouth, New Hampshire
2
Valley Hospital, Ridgewood, New Jersey
* Address correspondence to: Kevin McCusker, PhD, CCP 333 Borthwick Avenue P.O. Box 7004 Portsmouth, New Hampshire 03802-7004
Cardiac surgery requiring cardiopulmonary bypass (CPB) has increased in both number and safety over the past four decades. Postoperative bleeding continues to be a major cause of perioperative morbidity. The reported incidence varies from 4-32%.
This paper reviews the preoperative evaluation and specific hemostasis defects associated with cardiac surgery and extracorporeal circulation. Monitoring of anticoagulation and coagulation, methods to decrease the alterations of the coagulation system, as well as the specific therapy for and risks of post-CPB bleeding are also discussed.
Key words: cardiopulmonary bypass / bleeding / hemostasis / anticoagulation / platelets / fibrinolysis / activated clotting time / thromboelastograph / antifibrinolysis
© 1999 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.