The effect of low-dose epsilon-aminocaproic acid on patients following coronary artery bypass surgery.

Autor: Montesano, Ralph M, Gustafson, Patricia A, Palanzo, David A, Manley, Norman J, Sadr, Farrokh S
Zdroj: Perfusion; Jan1996, Vol. 11 Issue 1, p53-56, 4p
Abstrakt: The effect of low-dose epsilon-aminocaproic acid (EACA) on the postoperative course of 46 patients was studied. Patients undergoing coronary artery bypass grafting were randomly selected in two groups. Group 1 (20 patients) received 5 g EACA upon initiation of cardiopulmonary bypass (CPB). Group 2 (26 patients) received no antifibrinolytic drugs prior to CPB. Neither group received antifibrinolytic drugs after CPB. There was no significant difference between the two groups' blood usage on CPB: 0.65 units in Group 1 and 0.60 units in Group 2. After CPB, blood usage significantly differed: 2.2 ± 1.7 (SD) units in Group 1 and 3.9 ± 3.0 units in Group 2 (p = 0.033). Significant difference was also demonstrated in postoperative blood loss in the first 24 hours: 1610 ± 531 ml in Group 1 versus 2025 ± 804 ml in Group 2 (p = 0.043). Pre-CPB administration of low-dose EACA significantly decreases blood loss and blood usage in the postoperative period. [ABSTRACT FROM PUBLISHER]
Databáze: Complementary Index