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Blood Transfusion Practice in a Referral Cardiovascular Center in Tehran, Iran: A Critical Point of View

Alireza Alizadeh-Ghavidel 1 , Ziae Totonchi 2 , Abedin Hoseini 2 , Mohsen Ziyaeifard 2 and Rasoul Azarfarin 2 , *
Authors Information
1 Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran
2 Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran
Article information
  • Research in Cardiovascular Medicine: November 2014, 3 (4); e21772
  • Published Online: October 14, 2014
  • Article Type: Research Article
  • Received: July 5, 2014
  • Revised: August 25, 2014
  • Accepted: September 4, 2014
  • DOI: 10.5812/cardiovascmed.21772

To Cite: Alizadeh-Ghavidel A, Totonchi Z, Hoseini A, Ziyaeifard M, Azarfarin R. et al. Blood Transfusion Practice in a Referral Cardiovascular Center in Tehran, Iran: A Critical Point of View, Res Cardiovasc Med. 2014 ;3(4):e21772. doi: 10.5812/cardiovascmed.21772.

Copyright: Copyright © 2014, Research in Cardiovascular Medicine. .
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
  • 1. Gahrehbaghian A, Ahmadi L, Taymour H, Rahbari M. WHO guideline: the clinical use of blood in medicine, obstetric, pediatric. 2003;
  • 2. Carson JL, Grossman BJ, Kleinman S, Tinmouth AT, Marques MB. Red blood cell transfusion: a clinical practice guideline from the AABB*. Ann Intern Med. 2012; 157(1): 49-58[DOI][PubMed]
  • 3. Scott BH. Blood transfusion in cardiac surgery: is it appropriate? Ann Card Anaesth. 2007; 10(2): 108-12[PubMed]
  • 4. Carson JL, Duff A, Poses RM, Berlin JA, Spence RK, Trout R, et al. Effect of anaemia and cardiovascular disease on surgical mortality and morbidity. Lancet. 1996; 348(9034): 1055-60[DOI][PubMed]
  • 5. Bursi F, Barbieri A, Politi L, Di Girolamo A, Malagoli A. Perioperative red blood cell transfusion and outcome in stable patients after elective major vascular surgery. Eur J Vasc Endovasc Surg. 2009; 37(3): 311-8[DOI][PubMed]
  • 6. Murphy GJ, Reeves BC, Rogers CA, Rizvi SI, Culliford L, Angelini GD. Increased mortality, postoperative morbidity, and cost after red blood cell transfusion in patients having cardiac surgery. Circulation. 2007; 116(22): 2544-52[DOI][PubMed]
  • 7. Garrioch M, Sandbach J, Pirie E, Morrison A, Todd A, Green R. Reducing red cell transfusion by audit, education and a new guideline in a large teaching hospital. Transfus Med. 2004; 14(1): 25-31[DOI][PubMed]
  • 8. Teimuri H, Imani F, Maghsudlu M, KiaDaliri K, Fallah Tafti M. Prevalence of acute blood transfusion reactions in 11 hospitals of Tehran and Mazandaran province. Sci J Iran Blood Transfus ORG. 2008; 4(1): 19-24
  • 9. Ferraris VA, Ferraris SP, Saha SP, Hessel EA, 2nd, Haan CK, Royston BD, et al. Perioperative blood transfusion and blood conservation in cardiac surgery: the Society of Thoracic Surgeons and The Society of Cardiovascular Anesthesiologists clinical practice guideline. Ann Thorac Surg. 2007; 83(5 Suppl)-86[DOI][PubMed]
  • 10. Carson JL, Grossman BJ, Kleinman S, Tinmouth AT, Marques MB, Fung MK, et al. Red blood cell transfusion: a clinical practice guideline from the AABB*. Ann Intern Med. 2012; 157(1): 49-58[DOI][PubMed]
  • 11. Roback JD, Caldwell S, Carson J, Davenport R, Drew MJ. Evidence-based practice guidelines for plasma transfusion. Transfusion. 2010; 50(6): 1227-39[DOI][PubMed]
  • 12. Warwick R, Mediratta N, Chalmers J, Pullan M, Shaw M, McShane J, et al. Is single-unit blood transfusion bad post-coronary artery bypass surgery? Interact Cardiovasc Thorac Surg. 2013; 16(6): 765-71[DOI][PubMed]
  • 13. Alizadehasl A, Golmohammadi Z, Panjavi L, Mahmoodmoradi S, Azarfarin R. The incidence of anaemia in adult patients with cardiovascular diseases in northwest Iran. J Pak Med Assoc. 2011; 61(11): 1091-5[PubMed]
  • 14. Williams ML, He X, Rankin JS, Slaughter MS, Gammie JS. Preoperative hematocrit is a powerful predictor of adverse outcomes in coronary artery bypass graft surgery: a report from the Society of Thoracic Surgeons Adult Cardiac Surgery Database. Ann Thorac Surg. 2013; 96(5): 1628-34[DOI][PubMed]
  • 15. Shaw RE, Johnson CK, Ferrari G, Zapolanski A, Brizzio M, Rioux N, et al. Balancing the benefits and risks of blood transfusions in patients undergoing cardiac surgery: a propensity-matched analysis. Interact Cardiovasc Thorac Surg. 2013; 17(1): 96-102[DOI][PubMed]
  • 16. Farasatkish R, Aghdaii N, Azarfarin R, Yazdanian F. Can preoperative anesthesia consultation clinic help to reduce operating room cancellation rate of cardiac surgery on the day of surgery? Middle East J Anesthesiol. 2009; 20(1): 93-6[PubMed]
  • 17. Hogan M, Klein AA, Richards T. The impact of anaemia and intravenous iron replacement therapy on outcomes in cardiac surgery. Eur J Cardiothorac Surg. 2014; [DOI][PubMed]
  • 18. Weltert L, D'Alessandro S, Nardella S, Girola F, Bellisario A, Maselli D, et al. Preoperative very short-term, high-dose erythropoietin administration diminishes blood transfusion rate in off-pump coronary artery bypass: a randomized blind controlled study. J Thorac Cardiovasc Surg. 2010; 139(3): 621-6[DOI][PubMed]
  • 19. Mirinazhad M, Azarfarin R, Bilehjani E. The Effect of Acute NormovlumicHemodilution in Reducing Allogenic Red Blood Cell Transfusion During and After Cardiac Surgery. J Cardiovasc Thorac Res. 2009; 1(3): 35-42
  • 20. Casati V, Benussi S, Sandrelli L, Grasso MA, Spagnolo S, D'Angelo A. Intraoperative moderate acute normovolemic hemodilution associated with a comprehensive blood-sparing protocol in off-pump coronary surgery. Anesth Analg. 2004; 98(5): 1217-23[PubMed]
  • 21. Yazdanian F, Azarfarin R, Aghdaii N, Faritous SZ, Motlagh SD, Panahipour A. Cardiac variables as main predictors of endotracheal reintubation rate after cardiac surgery. J Tehran Heart Cent. 2013; 8(1): 42-7[PubMed]
  • 22. Canadyova J, Zmeko D, Mokracek A. Re-exploration for bleeding or tamponade after cardiac operation. Interact Cardiovasc Thorac Surg. 2012; 14(6): 704-7[DOI][PubMed]
  • 23. Sabzi F, Kazerani H, Jalali A, Samadi M, Ghasemi F. Coronary arteries bypass grafting surgery in elderly patients. J Tehran Heart Cent. 2013; 8(2): 76-88[PubMed]
  • 24. Rahmanian PB, Kroner A, Langebartels G, Ozel O, Wippermann J, Wahlers T. Impact of major non-cardiac complications on outcome following cardiac surgery procedures: logistic regression analysis in a very recent patient cohort. Interact Cardiovasc Thorac Surg. 2013; 17(2): 319-26[DOI][PubMed]
  • 25. Gokalp O, Kestelli M, Yurekli İ, Besir Y. Effect of the use of fresh frozen plasma in cardiac surgery on the postoperative serum creatinine values. Turkish J Thorac Cardiovasc Surg. 2011; 19(4): 490-4
  • 26. Ulas MM, Colak N, Ergun K, Lafci G, Uzun HA. Effects of Fresh Frozen Plasma on Hematologic Parameters in Open Heart Surgery. New J Med. 2010; 27: 169-73
  • 27. Parvizi R, Azarfarin R, Hassanzadeh S. Ultra-low dose aprotinin effects on reducing the need for blood transfusion in cardiac surgery. Saudi Med J. 2007; 28(1): 49-53[PubMed]
  • 28. Dhir A. Antifibrinolytics in cardiac surgery. Ann Card Anaesth. 2013; 16(2): 117-25[DOI][PubMed]
  • 29. Faritous ZS, Aghdaie N, Yazdanian F, Azarfarin R, Dabbagh A. Perioperative risk factors for prolonged mechanical ventilation and tracheostomy in women undergoing coronary artery bypass graft with cardiopulmonary bypass. Saudi J Anaesth. 2011; 5(2): 167-9[DOI][PubMed]
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