The effect of systemic arterial-line leukocyte filtration on the outcome of adult patients undergoing cardiac surgery

Iran Red Crescent Med J. 2013 May;15(5):414-7. doi: 10.5812/ircmj.10912. Epub 2013 May 5.

Abstract

Background: It is known that cardiopulmonary bypass causes an inflammatory reaction with associated morbidity and mortality. Several anti-inflammatory strategies have been implemented to reduce this response, including leukocyte removal from the circulation using specialized filters.

Objectives: The aim of this randomized clinical study was to assess the impact of arterial-line systemic leukocyte filtration on the postoperative outcome of adult patients undergoing elective cardiac surgery.

Patients and methods: 114 patients undergoing CABG or valve replacement in Baqiyatallah hospital, Tehran, Iran from May to August 2011 were randomly assigned to two groups: with and without leukocyte filtration and their outcomes were compared.

Results: The postoperative intubation time was significantly shorter in patients with leukocyte filters (0.014). There was no significant difference between two groups regarding other outcome relatedvariables.

Conclusions: Systemic arterial leukocyte filtration reduces the intubation time but has no other beneficial effect on the outcome of patients undergoing CABG or valve surgery.

Keywords: Cardiopulmonary Bypass; Leukocytes; Thoracic Surgery.