Coronary Artery Disease Circulatory System Atherosclerotic heart disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Male or female between 18 and 70 years of age 2. Any patient presenting for first time, uncomplicated coronary artery bypass surgery at the institution where the study is being performed
Exclusion criteria
Exclusion criteria: 1. Age > 70 years 2. Graft number less than two or more than six 3. Coexistent cardiac disease 4. Re-operation 5. Emergent surgery 6. Pre-operative inotropic support 7. Pre-operative intraaortic balloon pump insertion, or 8. Any deviation from the study protocol
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Arterial blood samples are obtained at three intervals. After induction (Prebypass), 30 minutes after bypass initiation (During), and 15 minutes after protamine administration (Postbypass). All samples are assayed within one hour of collection. 2. Total disaggregated platelet counts are measured with an LH750 analyzer (Beckman Coulter, Mississauga, ON) using whole blood collected in 7.2 mg K2 EDTA blood collection tubes (Vacutainer, BD, Franklin Lakes, NJ) 3. Platelet function is measured with a Dade Behring PFA¨C100 analyzer (Newark, DE, USA) using whole blood collected in 0.105 mol/L sodium citrate blood collection tubes (Vacutainer, BD, Franklin Lakes, NJ). Two assays are run for each sample, one using a collagen/epinephrine (Col/EPI) cartridge, and one with a collagen/adenosine (Col/ADP) cartridge. The PFA¨C100 assay requires a reasonable hematocrit to return valid results, therefore patients with hematocrits falling below 25% are excluded from the study 4. A total 24-hour total chest tube drainage value is obtained by measuring the total chest tube drainage 24 hours after entry to the intensive care unit | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Demographic information including age, sex, weight are collected 2. Extracorporeal support times and cross clamp times, and urine production | — |
Countries
Canada