Clinical efficacy of leukofiltration on cardiopulmonary bypass related inflammatory response: Fact or Foe?
dc.contributor.author | Kılıç, Dilek | |
dc.contributor.author | Günaydın, Serdar | |
dc.contributor.author | Kısa, Üçler | |
dc.contributor.author | Sari, Tamer | |
dc.contributor.author | Deveci, Özcan | |
dc.contributor.author | Zorlutuna, Yaman | |
dc.date.accessioned | 2020-06-25T17:48:24Z | |
dc.date.available | 2020-06-25T17:48:24Z | |
dc.date.issued | 2009 | |
dc.department | Kırıkkale Üniversitesi | |
dc.description | KISA, Ucler/0000-0002-8131-6810 | |
dc.description.abstract | The powerful precept of preoperative risk assessment has been applied to compare the efficacy of leukofiltration techniques for high-risk cohorts with the documentation of broad indicators of systemic inflammation. Forty high risk patients were prospectively assigned to four perfusion protocols; the first group (n=10): Polyethyleneoxide (PEO) based heparin bonded extracorporeal circuits (ECC) + Continuous Leukocyte filtration; the second group (n=10): uncoated ECC + leukofiltration; the third group (n=10): PEO based heparin bonded ECC without leukofiltration; and control (n=10). Blood samples were obtained at the following intervals: Baseline (T1), on cardiopulmonary bypass (CPB) (T2), Cross clamp (T3), off CPB (T4), Intensive care unit-24 h (ICU24) (T5), ICU48 (T6). Tumor Necrosis Factor-alpha levels were significantly lower in Group 1 at T3, T4 (p < 0.05) vs. control. Procalcitonin levels were significantly lower in Group 1 at T5, T6 (p < 0.05) vs. control. Creatinine kinase-MB levels in coronary sinus blood demonstrated well preserved myocardium in filtered+coated (Group1) and coated groups (Group3) (p < 0.05). Matrix metallopeptidase- 9 and D-Dimer levels in filtered+coated group were significantly lower at T5 and T6 vs. control (p < 0.05). Leukocyte filtration on coated surfaces alleviated systemic inflammatory response with a better clinical outcome in high risk patients. | en_US |
dc.identifier.citation | closedAccess | en_US |
dc.identifier.doi | 10.1007/s00011-008-7244-1 | |
dc.identifier.endpage | 297 | en_US |
dc.identifier.issn | 1023-3830 | |
dc.identifier.issn | 1420-908X | |
dc.identifier.issue | 6 | en_US |
dc.identifier.pmid | 19266265 | |
dc.identifier.scopus | 2-s2.0-67649532294 | |
dc.identifier.scopusquality | Q1 | |
dc.identifier.startpage | 292 | en_US |
dc.identifier.uri | https://doi.org/10.1007/s00011-008-7244-1 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12587/4437 | |
dc.identifier.volume | 58 | en_US |
dc.identifier.wos | WOS:000266240600002 | |
dc.identifier.wosquality | Q4 | |
dc.indekslendigikaynak | Web of Science | |
dc.indekslendigikaynak | Scopus | |
dc.indekslendigikaynak | PubMed | |
dc.language.iso | en | |
dc.publisher | Springer Basel Ag | en_US |
dc.relation.ispartof | Inflammation Research | |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/closedAccess | en_US |
dc.subject | Cardiopulmonary bypass | en_US |
dc.subject | Coated materials | en_US |
dc.subject | Biocompatible | en_US |
dc.subject | Leukapheresis | en_US |
dc.subject | Reperfusion injury | en_US |
dc.subject | Leukocyte Filtration | en_US |
dc.subject | Surface Modifying Additives | en_US |
dc.title | Clinical efficacy of leukofiltration on cardiopulmonary bypass related inflammatory response: Fact or Foe? | en_US |
dc.type | Article |
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