Volume 25, Issue 111, May, 2021

Comparison of del Nido Cardioplegia and blood Cardioplegia in isolated CABG patients

Baburhan Ozbek^1♦, Mehmet Coskun Aykac²

¹Kosuyolu Training and Research Hospital, Cardiovascular Surgery Department, Istanbul, Turkey
²Ercis State Hospital, Emergency Medicine Department, Van, Turkey

^♦Corresponding author
Kosuyolu Training and Research Hospital, Cardiovascular Surgery Department, Istanbul, Turkey

ABSTRACT

Introduction: Effective myocardial protection ensures safe operation during cardiac surgery. In this study, blood cardioplegia, which is the most preferred myocardial protection method in isolated coronary artery bypass grafting (CABG) operations, was compared with del Nido cardioplegia. Material and Method: Patients who underwent isolated CABG operation in our department between 04.01.2018- 06.30.2019 were analyzed retrospectively. The patients using blood cardioplegia constituted Group 1; whereas the patients using del Nido cardioplegia were in Group 2. Result: Isolated CABG was performed in 57 patients during the study period and all of the patients were over 35 (36-81 years). There were 32 patients (56%) in Group 1; and 25 patients (44%) in group 2. The duration of aortic cross-clamp and cardiopulmonary bypass were significantly higher in Group 1 (p= 0.009, p= 0.012). Discussion: Although the use of del Nido cardioplegia has shortened the duration of aortic cross-clamp and cardiopulmonary bypass, this positive effect was not reflected in postoperative variables. More comprehensive studies comparing myocardial protection methods are needed to fully evaluate this effect.

Keywords: coronary artery bypass, del Nido Cardioplegia, blood cardioplegia, myocardial protection

Medical Science, 2021, 25(111), 1106-1110

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