Kalp Cerrahisi Olan Hastalarda Minimal Ekstrakorporeal Dolaşım ve Konvansiyonel Dolaşım Sistemlerinin Karşılaştırılması

Abstract

Introduction and Aim: Systemic inflammatory response syndrome and hemodilution during cardiopulmonary bypass are important factors in morbidity and mortality. Extracorporeal circulatory systems were modified to reduce this problem and the minimal extracorporeal circulatory system (MECC) was developed. Our study aimed to compare the MECC and conventional extracorporeal circulatory systems in patients who underwent isolated coronary artery bypass graft (CABG) surgery.
 Materials and Methods: The study was conducted retrospectively on patients who underwent isolated CABG surgery in our clinic between September 1, 2013-December 31, 2018. The patients were divided into those in whom the MECC system (Group 1) and the conventional extracorporeal circulatory system (Group 2) were used.
 Results: The study was performed on a total of 140 CABG patients, 71 of which were performed with MECC (Group 1) and 69, with the conventional extracorporeal circulatory system (Group 2). Group 1 had higher mean age, ASA, and New York Heart Association values, and an increased rate of chronic obstructive pulmonary disease (p