The risk associated with aprotinin in cardiac surgery

DT Mangano, IC Tudor, C Dietzel - New England Journal of …, 2006 - Mass Medical Soc
Background The majority of patients undergoing surgical treatment for ST-elevation
myocardial infarction receive antifibrinolytic therapy to limit blood loss. This approach …

[HTML][HTML] A comparison of aprotinin and lysine analogues in high-risk cardiac surgery

DA Fergusson, PC Hébert, CD Mazer… - … England Journal of …, 2008 - Mass Medical Soc
Background Antifibrinolytic agents are commonly used during cardiac surgery to minimize
bleeding and to reduce exposure to blood products. We sought to determine whether …

The risk-benefit profile of aprotinin versus tranexamic acid in cardiac surgery

K Karkouti, DN Wijeysundera, TM Yau… - Anesthesia & …, 2010 - journals.lww.com
BACKGROUND: Aprotinin is superior to other antifibrinolytic drugs for preventing major
blood loss after cardiac surgery but may also increase perioperative mortality. It remains …

The effect of aprotinin on outcome after coronary-artery bypass grafting

AD Shaw, M Stafford-Smith, WD White… - … England Journal of …, 2008 - Mass Medical Soc
Background Aprotinin has recently been associated with adverse outcomes in patients
undergoing cardiac surgery. We reviewed our experience with this agent in patients …

Mortality associated with aprotinin during 5 years following coronary artery bypass graft surgery

DT Mangano, Y Miao, A Vuylsteke, IC Tudor, R Juneja… - Jama, 2007 - jamanetwork.com
ContextAcute safety concerns have been raised recently regarding certain hemorrhage-
sparing medications commonly used in cardiac surgery. However, no comprehensive data …

Aprotinin during coronary-artery bypass grafting and risk of death

S Schneeweiss, JD Seeger, J Landon… - New England Journal …, 2008 - Mass Medical Soc
Background Aprotinin (Trasylol) is used to mitigate bleeding during coronary-artery bypass
grafting (CABG). Accumulating evidence suggests that this practice increases mortality …

The risks of aprotinin and tranexamic acid in cardiac surgery: a one-year follow-up of 1188 consecutive patients

K Martin, G Wiesner, T Breuer, R Lange… - Anesthesia & …, 2008 - journals.lww.com
BACKGROUND: Our aim was to investigate postoperative complications and mortality after
administration of aprotinin compared to tranexamic acid in an unselected, consecutive …

The safety of aprotinin and lysine-derived antifibrinolytic drugs in cardiac surgery: a meta-analysis

D Henry, P Carless, D Fergusson, A Laupacis - Cmaj, 2009 - Can Med Assoc
Background: Because of recent concerns about the safety of aprotinin, we updated our 2007
Cochrane review that compared the relative benefits and risks of aprotinin and the lysine …

Randomized controlled trials of aprotinin in cardiac surgery: could clinical equipoise have stopped the bleeding?

D Fergusson, KC Glass, B Hutton, S Shapiro - Clinical trials, 2005 - journals.sagepub.com
Background Aprotinin is a serine protease inhibitor used to limit perioperative bleeding and
reduce the need for donated blood transfusions during cardiac surgery. Randomized …

Aprotinin: an update of its pharmacology and therapeutic use in open heart surgery and coronary artery bypass surgery

DC Peters, S Noble - Drugs, 1999 - Springer
Cardiopulmonary bypass (CPB) is associated with defective haemostasis which results in
bleeding and the requirement for allogenic blood product transfusions in many patients …