CARDIOVASCULAR ENGINEERING

CARDIOVASCULAR
ENGINEERING

Journal for Extracorporeal Circulation, Assist Devices,Transplantation and Artificial Organs

Volume 1, 1996, No 1



Heparinization in Children Undergoing Cardiopulmonary Bypass

P. G. Martin

Abstract:
The guiding principles of cardiopulmonary bypass heparinization were formulated in the 1970’s. However, since this time, earlier correction of congenital heart defects, the emergence of sensitive markers of coagulation, new monitoring technologies and improvements in the biocompatibility of circuit materials have each contributed to the feeling of uncertainty surrounding these standards. This review explores the main issues and the progress which has been made towards improving anticoagulation management for paediatric open-heart surgery.

Keywords:
heparin, heart surgery, coagulation, biocompatibility, cardiopulmonary bypass, protamine

Address for Correspondence:

P. G. Martin
BSc(hons)
Ph.D.
Research Director
Children’s Heart Surgery Fund
Department of Cardiothoracic Surgery
Killingbeck Hospital
York Road
Leeds LS14 6UQ
U.K.

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