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| Format: | Artículo científico |
| Language: | en |
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Sociedade Brasileira de Cirurgia Cardiovascular
2025
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| Online Access: | https://www.redalyc.org/articulo.oa?id=398982401002 https://www.redalyc.org/journal/3989/398982401002/ https://www.redalyc.org/journal/3989/398982401002/html/ https://www.redalyc.org/journal/3989/398982401002/398982401002.epub https://www.redalyc.org/journal/3989/398982401002/movil |
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Table of Contents:
- Del Nido vs. Blood Cardioplegia: A Comparative Analysis of Postoperative Atrial Fibrillation in Coronary Artery Bypass Grafting Patients Hasan Toz Ali Aycan Kavala Saygın Türkyılmaz Yusuf Kuserli Gülsüm Türkyılmaz Mehmet Ali Yesiltas Necdet Kılıçaslan Medicina Perfusion Atrial Fibrillation Cardioplegia Solution Cardiopulmonary Bypass Del Nido cardioplegia solution Introduction: Cardioplegia solution, also called the del Nido solution, has been widely used in pediatric cardiac surgeries, and has recently started to be used in adult cardiac surgeries. In this context, this study aimed to investigate the relationship between the use of del Nido and blood cardioplegia solutions and postoperative atrial fibrillation rates in our clinic.Methods: The study sample comprised 140 patients who underwent coronary artery bypass grafting. The del Nido and blood cardioplegia solutions were used in 70 (50%) patients. The postoperative atrial fibrillation rates of both groups were compared. Additionally, patients’ preoperative, intraoperative, and postoperative data were evaluated.Results: The cardiopulmonary bypass duration and defibrillation rate were lower in the del Nido cardioplegia group than in the blood cardioplegia group (P < 0.001). Atrial fibrillation rates on postoperative days one, five, and 30 were significantly lower in the del Nido cardioplegia group than in the blood cardioplegia group (P < 0.001, P < 0.001, and P = 0.007, respectively).Conclusion: The postoperative atrial fibrillation rate was significantly lower in the del Nido cardioplegia group than in the blood cardioplegia group. In addition, the del Nido cardioplegia solution did not interrupt the surgical flow, thus resulting in less total perfusion, shorter cross-clamping durations, and fewer defibrillation needs. In conclusion, the del Nido cardioplegia solution can be used safely and effectively in coronary artery bypass grafting surgeries. 2025 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398982401002 https://www.redalyc.org/journal/3989/398982401002/ https://www.redalyc.org/journal/3989/398982401002/html/ https://www.redalyc.org/journal/3989/398982401002/398982401002.epub https://www.redalyc.org/journal/3989/398982401002/movil 10.21470/1678-9741-2024-0071 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.3 Vol.40