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Fibrinolysis Caused by Cardio-Pulmonary Bypass and Shed Mediastinal Blood Retransfusion — Is it of Clinical Relevance?

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Proteases II

Abstract

The importance of blood saving methods during cardiac surgery is well accepted. It is commonly known that, in spite of heparin treatment, systemic coagulation and fibrinolysis will be activated by cardio-pulmonary bypass (CPB). Whether this activation is of clinical relevance was many times a point of discussion (1). Similar changes were found in the shed mediastinal blood postoperatively (2), which was retransfused to reduce homologous blood requirement (3). It is generally accepted now, that this method leads to a reduction of homologous blood requirement in cardiac surgery (4), but some reservations were made because of the low quality of the chest tube blood (5).

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References

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© 1988 Plenum Press, New York

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Dietrich, W. et al. (1988). Fibrinolysis Caused by Cardio-Pulmonary Bypass and Shed Mediastinal Blood Retransfusion — Is it of Clinical Relevance?. In: Hörl, W.H., Heidland, A. (eds) Proteases II. Advances in Experimental Medicine and Biology, vol 240. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1057-0_49

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  • DOI: https://doi.org/10.1007/978-1-4613-1057-0_49

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-8313-3

  • Online ISBN: 978-1-4613-1057-0

  • eBook Packages: Springer Book Archive

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