Different anticoagulation strategies in off-pump coronary artery bypass operations: a European survey.

Different anticoagulation strategies in off-pump coronary artery bypass operations: a European survey. Research Abstract Details 

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Different anticoagulation strategies in off-pump coronary artery bypass operations: a European survey. Abstract Text:

In order to determine anticoagulation strategies in OPCAB a questionnaire survey among 750 European cardio-thoracic surgeons was performed. Questions addressed volume of OPCAB procedures performed, intra- and perioperative heparinization and antiplatelet therapy, as well as perioperative management. A total of 325 (43.7%) questionnaires were returned and validated. Perioperative protocols for administration of antiplatelets differed among the respondent surgeons. Perioperative prophylaxis of thrombosis (low or high molecular weight heparin) is performed by 78%. Intraoperative heparin dosage range between 70 U/kg to 500 U/kg, 60% of respondents prefer a low-dose regimen (< or = 150 U/kg). Correspondingly, the lowest activated clotting time (ACT) during surgery is accepted to be 200 s by 24%, 250 s by 18% and 300 s by 26% of surgeons. Protamine is used by 91% of respondents, while 52% perform a 1:1 reversal. A cell-saver and antifibrinolytics are used by 70% and 40%, respectively. Interestingly, 56% of respondents think bleeding in OPCAB patients is not reduced when compared to on-pump CABG. In addition, 34% of respondents believe there is an increased risk of early graft occlusion following OPCAB. This survey demonstrates widely different intra- and perioperative anticoagulation strategies for OPCAB procedures among European surgeons.

Different anticoagulation strategies in off-pump coronary artery bypass operations: a European survey. Publishing Authors By Initials

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Different anticoagulation strategies in off-pump coronary artery bypass operations: a European survey. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Interactive cardiovascular and thoracic surgery

VOLUME: 7

Page Numbers: 378-82

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ISSN: 1569-9285

DAY: 26

MONTH: 02

YEAR: 2008

Different anticoagulation strategies in off-pump coronary artery bypass operations: a European survey. Information

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LANGUAGE: eng

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Grant and Affiliation Information for Different anticoagulation strategies in off-pump coronary artery bypass operations: a European survey.

AFFILIATION: Department of Cardiovascular Surgery, Inselspital, University Hospital, Freiburgstrasse, 3010 Berne, Switzerland. lars.englberger@insel.ch

Country: England

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MEDLINETA: Interact Cardiovasc Thorac Sur

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