Porcine heparin increases postoperative bleeding in cardiopulmonary bypass patients

Leigh I G Iverson, Francis G. Duhaylongsod, J Nilas Young, Roger R. Ecker, Coyness L. Ennix, Richard L. Moretti, M. Farrar, R. Hayes, J. Lee, Ivan A. May

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

One hundred thirteen patients undergoing cardiopulmonary bypass were randomly assigned to receive either bovine or porcine heparin. Heparin was infused at 4.5 mg/kg during bypass and administered at the lesser of 70 units/kg or 5000 units/dose at 12-hour intervals postoperatively. Platelet counts decreased to 45% of preoperative levels during the first 3 days postoperatively (porcine, 44±13%, n =50; bovine, 46±15%), but returned to preoperative levels by the seventh postoperative day. The average blood loss in the porcine heparin group significantly exceeded that of the bovine heparin group (porcine, 1350.7±727.8 ml; bovine, 1059.6±381.0 ml; p<.01). Consequently, the platelet transfusion requirement was greater in the porcine heparin group (porcine, 1.7±3.9 units; bovine, 0.5±1.7 units; p<.05); however, blood and blood component (with the exception of platelets) administration was not significantly different between the two groups. The four patients taking anticoagulants or antiinflammatory agents in the porcine group required a mean of 8.5 units of red blood cells (RBC) plus supplemental platelets. The seven such patients in the bovine group received a mean of 3.0 units of RBC and no platelets. Thus, the use of porcine heparin resulted in a generalized increase in postoperative bleeding with increased management problems in patients undergoing cardiopulmonary bypass.

Original languageEnglish (US)
Pages (from-to)269-272
Number of pages4
JournalCardiovascular Drugs and Therapy
Volume4
Issue number1
DOIs
StatePublished - Jan 1990
Externally publishedYes

Keywords

  • cardiopulmonary bypass
  • heparin
  • platelet aggregation
  • postoperative bleeding
  • protamine
  • thrombocytopenia

ASJC Scopus subject areas

  • Pharmacology
  • Pharmacology (medical)
  • Cardiology and Cardiovascular Medicine

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  • Cite this

    Iverson, L. I. G., Duhaylongsod, F. G., Young, J. N., Ecker, R. R., Ennix, C. L., Moretti, R. L., Farrar, M., Hayes, R., Lee, J., & May, I. A. (1990). Porcine heparin increases postoperative bleeding in cardiopulmonary bypass patients. Cardiovascular Drugs and Therapy, 4(1), 269-272. https://doi.org/10.1007/BF01857644