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Modified Ultrafiltration During Cardiopulmonary Bypass and Postoperative Course of Pediatric Cardiac Surgery

Mohsen Ziyaeifard 1 , Azin Alizadehasl 2 , * and Gholamreza Massoumi 3
Authors Information
1 Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran
2 Echocardiography Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran
3 Anesthesiology Department, Isfahan University of Medical Sciences, Isfahan, IR Iran
Article information
  • Research in Cardiovascular Medicine: May 2014, 3 (2); e17830
  • Published Online: April 1, 2014
  • Article Type: Review Article
  • Received: January 25, 2014
  • Revised: February 18, 2014
  • Accepted: March 10, 2014
  • DOI: 10.5812/cardiovascmed.17830

To Cite: Ziyaeifard M, Alizadehasl A, Massoumi G. Modified Ultrafiltration During Cardiopulmonary Bypass and Postoperative Course of Pediatric Cardiac Surgery, Res Cardiovasc Med. 2014 ;3(2):e17830. doi: 10.5812/cardiovascmed.17830.

Abstract
Copyright: Copyright © 2014, Research in Cardiovascular Medicine. .
1. Context
2. Evidence Acquisition
3. Results
4. Conclusions
Acknowledgements
Footnotes
References
  • 1. Chew MS, Brandslund I, Brix-Christensen V, Ravn HB, Hjortdal VE, Pedersen J, et al. Tissue injury and the inflammatory response to pediatric cardiac surgery with cardiopulmonary bypass: a descriptive study. Anesthesiology. 2001; 94(5): 745-53[PubMed]
  • 2. Radaelli A, Loardi C, Cazzaniga M, Balestri G, DeCarlini C, Cerrito MG, et al. Inflammatory activation during coronary artery surgery and its dose-dependent modulation by statin/ACE-inhibitor combination. Arterioscler Thromb Vasc Biol. 2007; 27(12): 2750-5[DOI][PubMed]
  • 3. Paparella D, Yau TM, Young E. Cardiopulmonary bypass induced inflammation: pathophysiology and treatment. An update. Eur J Cardiothorac Surg. 2002; 21(2): 232-44[PubMed]
  • 4. Kotani N, Hashimoto H, Sessler DI, Muraoka M, Wang JS, O'Connor MF, et al. Cardiopulmonary bypass produces greater pulmonary than systemic proinflammatory cytokines. Anesth Analg. 2000; 90(5): 1039-45[PubMed]
  • 5. Bando K, Vijay P, Turrentine MW, Sharp TG, Means LJ, Ensing GJ, et al. Dilutional and modified ultrafiltration reduces pulmonary hypertension after operations for congenital heart disease: a prospective randomized study. J Thorac Cardiovasc Surg. 1998; 115(3): 517-25[PubMed]
  • 6. Allen M, Sundararajan S, Pathan N, Burmester M, Macrae D. Anti-inflammatory modalities: their current use in pediatric cardiac surgery in the United Kingdom and Ireland. Pediatr Crit Care Med. 2009; 10(3): 341-5[DOI][PubMed]
  • 7. McEvoy MD, Sabbagh MJ, Taylor AG, Zavadzkas JA, Koval CN, Stroud RE, et al. Aprotinin modifies left ventricular contractility and cytokine release after ischemia-reperfusion in a dose-dependent manner in a murine model. Anesth Analg. 2009; 108(2): 399-406[DOI][PubMed]
  • 8. Naik SK, Knight A, Elliott MJ. A successful modification of ultrafiltration for cardiopulmonary bypass in children. Perfusion. 1991; 6(1): 41-50[PubMed]
  • 9. Brancaccio G, Villa E, Girolami E, Michielon G, Feltri C, Mazzera E, et al. Inflammatory cytokines in pediatric cardiac surgery and variable effect of the hemofiltration process. Perfusion. 2005; 20(5): 263-8[PubMed]
  • 10. Castro RPd, Croti UA, Machado MdN, Murillo HG, Rincon OYP, Policarpo SR, et al. Ultrafiltração convencional com modificação técnica no tratamento cirúrgico dos defeitos cardíacos congênitos. Rev Bras Cir Cardiovasc. 2006; 21(1): 42-9[DOI]
  • 11. Luciani GB, Menon T, Vecchi B, Auriemma S, Mazzucco A. Modified ultrafiltration reduces morbidity after adult cardiac operations: a prospective, randomized clinical trial. Circulation. 2001; 104(12 Suppl 1)-9[PubMed]
  • 12. Atkins BZ, Danielson DS, Fitzpatrick CM, Dixon P, Petersen RP, Carpenter AJ. Modified ultrafiltration attenuates pulmonary-derived inflammatory mediators in response to cardiopulmonary bypass. Interact Cardiovasc Thorac Surg. 2010; 11(5): 599-603[DOI][PubMed]
  • 13. Gaynor JW. The effect of modified ultrafiltration on the postoperative course in patients with congenital heart disease. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2003; 6: 128-39[DOI][PubMed]
  • 14. Thompson LD, McElhinney DB, Findlay P, Miller-Hance W, Chen MJ, Minami M, et al. A prospective randomized study comparing volume-standardized modified and conventional ultrafiltration in pediatric cardiac surgery. J Thorac Cardiovasc Surg. 2001; 122(2): 220-8[DOI][PubMed]
  • 15. Kawamura T, Wakusawa R, Okada K, Inada S. Elevation of cytokines during open heart surgery with cardiopulmonary bypass: participation of interleukin 8 and 6 in reperfusion injury. Can J Anaesth. 1993; 40(11): 1016-21[PubMed]
  • 16. Wan S, Yim AP, Ng CS, Arifi AA. Systematic organ protection in coronary artery surgery with or without cardiopulmonary bypass. J Card Surg. 2002; 17(6): 529-35[PubMed]
  • 17. Chaturvedi RR, Shore DF, White PA, Scallan MH, Gothard JW, Redington AN, et al. Modified ultrafiltration improves global left ventricular systolic function after open-heart surgery in infants and children. Eur J Cardiothorac Surg. 1999; 15(6): 742-6[PubMed]
  • 18. Keenan HT, Thiagarajan R, Stephens KE, Williams G, Ramamoorthy C, Lupinetti FM. Pulmonary function after modified venovenous ultrafiltration in infants: a prospective, randomized trial. J Thorac Cardiovasc Surg. 2000; 119(3): 501-5[PubMed]
  • 19. Huang H, Yao T, Wang W, Zhu D, Zhang W, Chen H, et al. Continuous ultrafiltration attenuates the pulmonary injury that follows open heart surgery with cardiopulmonary bypass. Ann Thorac Surg. 2003; 76(1): 136-40[PubMed]
  • 20. Hiramatsu T, Imai Y, Kurosawa H, Takanashi Y, Aoki M, Shinoka T, et al. Effects of dilutional and modified ultrafiltration in plasma endothelin-1 and pulmonary vascular resistance after the Fontan procedure. Ann Thorac Surg. 2002; 73(3): 861-5[PubMed]
  • 21. Wang W, Huang HM, Zhu DM, Chen H, Su ZK, Ding WX. Modified ultrafiltration in paediatric cardiopulmonary bypass. Perfusion. 1998; 13(5): 304-10[PubMed]
  • 22. Pearl JM, Manning PB, McNamara JL, Saucier MM, Thomas DW. Effect of modified ultrafiltration on plasma thromboxane B2, leukotriene B4, and endothelin-1 in infants undergoing cardiopulmonary bypass. Ann Thorac Surg. 1999; 68(4): 1369-75[PubMed]
  • 23. Portela F, Espanol R, Quintans J, Pensado A, Vazquez A, Sanchez A, et al. [Combined perioperative ultrafiltration in pediatric cardiac surgery. The preliminary results]. Rev Esp Cardiol. 1999; 52(12): 1075-82[PubMed]
  • 24. Yndgaard S, Andersen LW, Andersen C, Petterson G, Baek L. The effect of modified ultrafiltration on the amount of circulating endotoxins in children undergoing cardiopulmonary bypass. J Cardiothorac Vasc Anesth. 2000; 14(4): 399-401[DOI][PubMed]
  • 25. Chew MS, Brix-Christensen V, Ravn HB, Brandslund I, Ditlevsen E, Pedersen J, et al. Effect of modified ultrafiltration on the inflammatory response in paediatric open-heart surgery: a prospective, randomized study. Perfusion. 2002; 17(5): 327-33[PubMed]
  • 26. Harig F, Meier C, Hakami L, Strasser R, Bretzger J, Munch F, et al. Does the additional use of heparin-coated extracorporeal circuits (ECC) optimize the effect of modified ultrafiltration (MUF) in pediatric perfusion? Thorac Cardiovasc Surg. 2006; 54(3): 168-72[DOI][PubMed]
  • 27. Yokoyama K, Takabayashi S, Komada T, Onoda K, Mitani Y, Iwata H, et al. Removal of prostaglandin E2 and increased intraoperative blood pressure during modified ultrafiltration in pediatric cardiac surgery. J Thorac Cardiovasc Surg. 2009; 137(3): 730-5[DOI][PubMed]
  • 28. Papadopoulos N, Bakhtiary F, Grun V, Weber CF, Strasser C, Moritz A. The effect of normovolemic modified ultrafiltration on inflammatory mediators, endotoxins, terminal complement complexes and clinical outcome in high-risk cardiac surgery patients. Perfusion. 2013; 28(4): 306-14[DOI][PubMed]
  • 29. Journois D, Pouard P, Greeley WJ, Mauriat P, Vouhe P, Safran D. Hemofiltration during cardiopulmonary bypass in pediatric cardiac surgery. Effects on hemostasis, cytokines, and complement components. Anesthesiology. 1994; 81(5): 1181-9[PubMed]
  • 30. Patel B, Jeroudi MO, Bolli R. The Science and Practice of Pediatric Cardiology. 1990; : 266-79
  • 31. Hashimoto K, Miyamoto H, Suzuki K, Horikoshi S, Matsui M, Arai T, et al. Evidence of organ damage after cardiopulmonary bypass. The role of elastase and vasoactive mediators. J Thorac Cardiovasc Surg. 1992; 104(3): 666-73[PubMed]
  • 32. Zhou G, Feng Z, Xiong H, Duan W, Jin Z. A combined ultrafiltration strategy during pediatric cardiac surgery: a prospective, randomized, controlled study with clinical outcomes. J Cardiothorac Vasc Anesth. 2013; 27(5): 897-902[DOI][PubMed]
  • 33. Ricci Z, Polito A, Netto R, De Razza F, Favia I, Carotti A, et al. Assessment of modified ultrafiltration hemodynamic impact by pressure recording analytical method during pediatric cardiac surgery. Pediatr Crit Care Med. 2013; 14(4): 390-5[DOI][PubMed]
  • 34. Hodges UM, Berg S, Naik SK, Bower S, Lloyd-Thomas A, Elliot M. Filtration of fentanyl is not the cause of the elevation of arterial blood pressure associated with post-bypass ultrafiltration in children. J Cardiothorac Vasc Anesth. 1994; 8(6): 653-7[PubMed]
  • 35. Naik SK, Balaji S, Elliott MJ. Modified ultrafiltration improves hemodynamics after cardiopulmonary bypass in children. J Am Coll Cardiol. 1992; 19: 37A
  • 36. Davies MJ, Nguyen K, Gaynor JW, Elliott MJ. Modified ultrafiltration improves left ventricular systolic function in infants after cardiopulmonary bypass. J Thorac Cardiovasc Surg. 1998; 115(2): 361-9[PubMed]
  • 37. William Gaynor J, Tulloh RMR, Owen CH, Sullivan ID, Elliott MJ. 953-31 Modified Ultrafiltration Reduces Myocardial Edema and Reverses Hemodilution Following Cardiopulmonary Bypass in Children. J Am Coll Cardiol. 1995; 25(2, Supplement 1): 200A[DOI]
  • 38. Butler J, Rocker GM, Westaby S. Inflammatory response to cardiopulmonary bypass. Ann Thorac Surg. 1993; 55(2): 552-9[PubMed]
  • 39. Asimakopoulos G, Smith PL, Ratnatunga CP, Taylor KM. Lung injury and acute respiratory distress syndrome after cardiopulmonary bypass. Ann Thorac Surg. 1999; 68(3): 1107-15[PubMed]
  • 40. Miller BE, Levy JH. The inflammatory response to cardiopulmonary bypass. J Cardiothorac Vasc Anesth. 1997; 11(3): 355-66[PubMed]
  • 41. Liu JP, Long C, Feng ZY, Ji BY, Li CH. [Comparative study of pulmonary function after conventional ultrafiltration or modified ultrafiltration during cardiac surgery of infants]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2002; 24(4): 364-6[PubMed]
  • 42. Onoe M, Oku H, Kitayama H, Matsumoto T, Kaneda T. Modified ultrafiltration may improve postoperative pulmonary function in children with a ventricular septal defect. Surg Today. 2001; 31(7): 586-90[PubMed]
  • 43. Torina AG, Petrucci O, Oliveira PP, Severino ES, Vilarinho KA, Lavagnoli CF, et al. The effects of modified ultrafiltration on pulmonary function and transfusion requirements in patients underwent coronary artery bypass graft surgery. Rev Bras Cir Cardiovasc. 2010; 25(1): 59-65[PubMed]
  • 44. Mahmoud AB, Burhani MS, Hannef AA, Jamjoom AA, Al-Githmi IS, Baslaim GM. Effect of modified ultrafiltration on pulmonary function after cardiopulmonary bypass. Chest. 2005; 128(5): 3447-53[DOI][PubMed]
  • 45. Kirklin JK, Blackstone EH, Kirklin JW. Cardiopulmonary bypass: studies on its damaging effects. Blood Purif. 1987; 5(2-3): 168-78[PubMed]
  • 46. Maehara T, Novak I, Wyse RK, Elliot MJ. Perioperative monitoring of total body water by bio-electrical impedance in children undergoing open heart surgery. Eur J Cardiothorac Surg. 1991; 5(5): 258-64[PubMed]
  • 47. Naik SK, Elliott MJ. Ultrafiltration and paediatric cardiopulmonary bypass. Perfusion. 1993; 8(1): 101-12[PubMed]
  • 48. Gurbuz AT, Novick WM, Pierce CA, Watson DC. Impact of ultrafiltration on blood use for atrial septal defect closure in infants and children. Ann Thorac Surg. 1998; 65(4): 1105-8[PubMed]
  • 49. Gaynor JW. Use of modified ultrafiltration after repair of congenital heart defects. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 1998; 1: 81-90[PubMed]
  • 50. Steffens TG, Kohmoto T, Edwards N, Wolman RL, Holt DW. Effects of modified ultrafiltration on coagulation as measured by the thromboelastograph. J Extra Corpor Technol. 2008; 40(4): 229-33[PubMed]
  • 51. Andrew M, Paes B, Milner R, Johnston M, Mitchell L, Tollefsen DM, et al. Development of the human coagulation system in the healthy premature infant. Blood. 1988; 72(5): 1651-7[PubMed]
  • 52. Tempe DK, Virmani S. Coagulation abnormalities in patients with cyanotic congenital heart disease. J Cardiothorac Vasc Anesth. 2002; 16(6): 752-65[DOI][PubMed]
  • 53. Friesen RH, Campbell DN, Clarke DR, Tornabene MA. Modified ultrafiltration attenuates dilutional coagulopathy in pediatric open heart operations. Ann Thorac Surg. 1997; 64(6): 1787-9[PubMed]
  • 54. Ootaki Y, Yamaguchi M, Oshima Y, Yoshimura N, Oka S. Effects of modified ultrafiltration on coagulation factors in pediatric cardiac surgery. Surg Today. 2002; 32(3): 203-6[PubMed]
  • 55. Buchholz BJ, Bert AA, Price DR, Hopkins RA, Stearns GT. Veno-arterial modified ultrafiltration in children after cardiopulmonary bypass. J Extra Corpor Technol. 1999; 31(1): 47-9[PubMed]
  • 56. Society of Thoracic Surgeons Blood Conservation Guideline Task F, Ferraris VA, Ferraris SP, Saha SP, Hessel E2, Haan CK, 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]
  • 57. Kamada M, Niibori K, Akimoto H, Yokoyama H, Tofukuji M, Iguchi A, et al. [Efficacy of modified ultrafiltration in reoperation for valvular disease]. Kyobu Geka. 2001; 54(2): 119-24[PubMed]
  • 58. Gelb AB, Roth RI, Levin J, London MJ, Noall RA, Hauck WW, et al. Changes in blood coagulation during and following cardiopulmonary bypass: lack of correlation with clinical bleeding. Am J Clin Pathol. 1996; 106(1): 87-99[PubMed]
  • 59. Spiess BD. The contribution of fibrinolysis to postbypass bleeding. J Cardiothorac Vasc Anesth. 1991; 5(6): 13-7[DOI]
  • 60. Elliott MJ. Ultrafiltration and modified ultrafiltration in pediatric open heart operations. Ann Thorac Surg. 1993; 56(6): 1518-22[PubMed]
  • 61. Raja SG. Modified ultrafiltration for paediatric cardiac surgical patients: additional benefits and concerns. Chin Med J (Engl). 2004; 117(2): 318-9[PubMed]
  • 62. Darling E, Nanry K, Shearer I, Kaemmer D, Lawson S. Techniques of paediatric modified ultrafiltration: 1996 survey results. Perfusion. 1998; 13(2): 93-103[PubMed]
  • 63. Ramamoorthy C, Lynn AM. Con: the use of modified ultrafiltration during pediatric cardiovascular surgery is not a benefit. J Cardiothorac Vasc Anesth. 1998; 12(4): 483-5[PubMed]
  • 64. Williams GD, Ramamoorthy C, Totzek FR, Oakes RL. Comparison of the effects of red cell separation and ultrafiltration on heparin concentration during pediatric cardiac surgery. J Cardiothorac Vasc Anesth. 1997; 11(7): 840-4[PubMed]
  • 65. Pouard P, Journois J, Greeley WJ. Perioperative management of the patient with congenital heart disease. 1996; : 121–32
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