BIOCOMPATIBILITY OF A HEPARIN-BONDED MEMBRANE-OXYGENATOR (CARMEDA MAXIMA) DURING THE FIRST 90 MINUTES OF CARDIOPULMONARY BYPASS - CLINICAL COMPARISON WITH THE CONVENTIONAL SYSTEM
O. Shigemitsu et al., BIOCOMPATIBILITY OF A HEPARIN-BONDED MEMBRANE-OXYGENATOR (CARMEDA MAXIMA) DURING THE FIRST 90 MINUTES OF CARDIOPULMONARY BYPASS - CLINICAL COMPARISON WITH THE CONVENTIONAL SYSTEM, Artificial organs, 18(12), 1994, pp. 936-941
We clinically compared a heparin-bonded Carmeda MAXIMA membrane oxygen
ator to a nonheparin-bonded MAXIMA in 20 patients undergoing coronary
artery bypass grafting or valve replacement. Reductions of fibrinogen,
factor XII, and high molecular weight kininogen were greater in the M
AXIMA group. Serum C3a and free hemoglobin were lower in the Carmeda g
roup. The level of C4a, though remarkably lower than that of C3a, was
higher in the Carmeda group then in the MAXIMA group. Both oxygenators
performed well in terms of blood gas exchange. We conclude that the h
eparin-bonded Carmeda oxygenator offers superior biocompatibility duri
ng cardiopulmonary bypass.