[Efficacy of intraoperative reservation of auto-blood in surgical treatment of ischemic heart disease using Cell-Saver]

Abstract

A prospective randomized study was made for 109 patients with ischemic heart disease (IHD) after coronary artery bypass grafting (CABG) with artificial blood circulation. Fifty-five (55) patients (Group 1--controls) were operated on without intraoperative autoblood reservation. Blood was sampled (7.6 +/- 0.3 ml/kg) at the surgery beginning in 54 patients (Group 2) with its subsequent transfusion after the artificial blood circulation was over. Cell saver was used in all patients intraoperatively (and, depending on indications--postoperatively). The dynamic content of hemoglobin, counts of erythrocytes, hematocrit parameters as well as the content of blood platelets and the content of blood-plasma total protein were examined postoperatively. The intraoperative autoblood reservation (7-8 ml/kg) made in CABG with cell saver for IHD patients maintains higher values of hemoglobin, erythrocyte counts and of hematocrit parameters during the early postoperative period, however, it does not reduce the frequency use or transfusion volume of donor blood.