Electrical impedancemetry a new method for evaluating myocardial protection in operations with heart extracorporeal circulation


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Abstract

Objective: to determine the information content of electrical impedancemetry as a method of assessing myocardial protection during cardioplegic different versions.

The study included 54 patients operated on in the emergency department of valvular defects surgery at Bakulev's Medical Center. Depending on the method of myocardial protection patients were divided into 3 groups: Group 1 - patients whom Buckberg cardioplegia was used (n = 31), group 2 - patients underwent cardioplegia solution with Custodiol (n = 9), group 3 - patients who have a perioperative myocardial protection used hyperkalium solution (n = 14). All patients were studied bioelectrical impedance of the myocardium.

The results showed that the electrical impedancemetry can well assess the state of the myocardium during surgery.

About the authors

Gevorg A. Bledzhyants

NTSSSH them. A.N. Bakuleva RAMS

Author for correspondence.
Email: cardioplegia.lab@gmail.com

Senior Researcher, Cardioplegia Laboratory, Candidate of Medical Sciences

Russian Federation, Moscow

Vadim A. Bubnov

FSBI "Federal Scientific and Clinical Center for the Provision of Specialized Types of Medical Aid and Medical Technologies" FMBA of Russia

Email: va66@mail.ru

Head of the Department of Gravitational Blood Surgery

Russian Federation, Moscow

Dmitry V. Puzenko

FSBI "Federal Scientific and Clinical Center for the Provision of Specialized Types of Medical Aid and Medical Technologies" FMBA of Russia

Email: va66@mail.ru

cardiac surgeon, candidate of medical sciences

Russian Federation, Moscow

Vladimir A. Cherepenin

Institute of Radio Engineering and Electronics RAS

Email: cher@cplire.ru

doctor phys.-mat. sciences, professor

Russian Federation, Moscow

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Supplementary files

Supplementary Files
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2. Fig. 1. Sensor for four-pole measurement of electrical impedance of the myocardium

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3. Fig. 2. Fixation of electrodes to the anterior wall of the right ventricle

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4. Fig. 3. Schematic analysis of the graph of the electrical resistance of the myocardium.

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5. Fig. 4. Correlation between the volumetric rate of myocardial perfusion and the degree of Znch decrease during antegrade and retrograde administration of cardioplegic solution.

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6. Fig. 5. Correlation between the volumetric rate of myocardial perfusion and the degree of 2nh decrease during retrograde administration of cardioplegic solution.

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7. Fig. 6. Correlation between the time of aortic clamping and the degree of Zbh decrease in each group of patients.

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8. Fig. 7. Safe aortic clamping time in each cardioplegic group

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Copyright (c) 2011 Bledzhyants G.A., Bubnov V.A., Puzenko D.V., Cherepenin V.A.

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