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Addition of dextran sulfate to blood cardioplegia attenuates reperfusion injury in a porcine model of cardiopulmonary bypass☆
Author(s) -
Yara Banz,
Robert Rieben,
Claudia Zobrist,
Pascal Meier,
Sidney Shaw,
Jonas Lanz,
Thierry Carrel,
Pascal Berdat
Publication year - 2008
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1016/j.ejcts.2008.05.024
Subject(s) - cardiopulmonary bypass , dextran , medicine , anesthesia , cardiology , reperfusion injury , chemistry , ischemia , biochemistry
Contact of blood with artificial surfaces and air as well as ischemia/reperfusion injury to the heart and lungs mediate systemic and local inflammation during cardiopulmonary bypass (CPB). Activation of complement and coagulation cascades leads to and accompanies endothelial cell damage. Therefore, endothelial-targeted cytoprotection with the complement inhibitor and endothelial protectant dextran sulfate (DXS, MW 5000) may attenuate CBP-associated myocardial and pulmonary injury.

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