Coronary Disease Clinical Trial
Official title:
Removal of Cytokine on Cardiopulmonary Bypass With CytoSorb® Compared to on- and Off-pump Myocardial Revascularization
Cardiac surgery leeds to a systematic inflammatory response induced by the surgical trauma
and the use of the cardiopulmonary bypass (CPB). Activation of inflammatory cascades can
cause a systemic inflammatory response syndrome (SIRS) which is associated with increased
morbidity and mortality. Therefore, strategies to reduce the inflammatory response have a
potential benefit for cardiac surgery patients.
The clinical benefit of reducing proinflammatory cytokines such as IL-6, Il-8 and TNF-a with
the use of a cytokine adsorbing circuit (Cytosorb) during CBP remains unclear. Therefore, the
investigators conduct this prospective, observational pilot study to determine the clinical
impact of the use of a cytokine adsorbing circuit during CBP.
Patients, who have an elective myocardial revascularization and give there written consent will be enrolled to the study. Demographic, intraoperative, and postoperative data will be collected prospectively. Furthermore, blood samples (1. before induction of anaesthesia 2. at the end of CPB 3. 6 hours after surgery 4. 24 hours after surgery 5. 3-5 days after surgery) will be analyzed. ;
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