Effect of veno-venous ultrafiltration on myocardial performance immediately after cardiac surgery in children
A prospective randomized study
Ernesto S. Rivera, MD, FACC*,
Thomas R. Kimball, MD, FACC*,
Warren W. Bailey, MD ,
Sandra A. Witt, RDCS*,
Philip R. Khoury, MS* and
Stephen R. Daniels, MD, PhD*
* Non-Invasive Cardiac Imaging and Hemodynamic and Research Laboratory, Division of Cardiology, Children’s Hospital Medical Center, Cincinnati, Ohio, USA
Division of Cardiothoracic Surgery, Children’s Hospital Medical Center, Cincinnati, Ohio, USA
View larger version (11K):
[in a new window]
|
Figure 1 Protocol. Patients were randomly assigned after cardiopulmonary bypass into either Group A with immediate ultrafiltration or Group B with delayed ultrafiltration.
|
|
View larger version (13K):
[in a new window]
|
Figure 2 Changes in systolic blood pressure during the different study times. There was significant fall in systolic blood pressure after CPB followed by significant increase in blood pressure after UF in both groups.
|
|
View larger version (12K):
[in a new window]
|
Figure 3 Changes in LV end-diastolic wall thickness to LV end-diastolic dimension ratio, hd/LVED, during the different study times. The ratio increased significantly after CPB and decreased significantly after UF.
|
|
View larger version (14K):
[in a new window]
|
Figure 4 Changes in myocardial contractility ( VCFc – WS) during the different study times. There was significant decrease after CPB followed by significant increase in contractility after UF in both groups.
|
|
|
