In vitro evaluation of new surface coatings for extracorporeal circulation.

Autor: Baksaas, S.T., Videm, V., Fosse, E., Karlsen, H., Pedersen, T., Mollnes, T.E., Hagve, T.A., Svennevig, J.L.
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Zdroj: Perfusion; 1999, Vol. 14 Issue 1, p11-19, 9p, 3 Graphs
Abstrakt: Cardiopulmonary bypass (CPB) exposes blood to large, foreign surfaces. This exposure may activate the cellular and humoral inflammatory systems, resulting in inflammatory reactions and organ dysfunction. Coating the inner surfaces of the bypass circuit may help alleviate these side-effects. The objective of this study was to determine the influence of two new surface treatments on blood cell and complement activation. Oxygenator and tubing sets coated with synthetic polymers (n = 7) or heparin (n = 7) were compared to uncoated sets (n = 7) in an in vitro model of CPB. The circuits were run at 4 l/min and recirculated for 120 min. The inflammatory response was assessed at regular intervals by platelet counts, and activation of complement, leucocytes and platelets. We found that the median platelet counts decreased from 127 to 122 × 109/l (not significant, NS) in the synthetic polymer sets, from 96 to 88 × 109/l (NS) in the heparin-coated sets, and from 93 to 54 × 109/l (p . [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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