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 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 …

[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 …

A propensity score case‐control comparison of aprotinin and tranexamic acid in high‐transfusion‐risk cardiac surgery

K Karkouti, WS Beattie, KM Dattilo, SA McCluskey… - …, 2006 - Wiley Online Library
BACKGROUND: Cardiac surgery with cardiopulmonary bypass may result in excessive
fibrinolysis and platelet (PLT) dysfunction, resulting in impaired hemostasis and excessive …

Aprotinin use during cardiac surgery: a new or continuing controversy?

CW Hogue, MJ London - Anesthesia & Analgesia, 2006 - journals.lww.com
Excessive bleeding during and after cardiac surgery is a serious complication that exposes
patients both to the risks of transfusion of blood products and to those associated with …

Aprotinin increases mortality as compared with tranexamic acid in cardiac surgery: a meta-analysis of randomized head-to-head trials

H Takagi, H Manabe, N Kawai, S Goto… - … and Thoracic Surgery, 2009 - academic.oup.com
To determine whether aprotinin increases mortality as compared with tranexamic acid in
cardiac surgery, we performed a meta-analysis of randomized head-to-head trials. All …

[HTML][HTML] 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 …

Aprotinin may increase mortality in low and intermediate risk but not in high risk cardiac surgical patients compared to tranexamic acid and ε-aminocaproic acid–a …

P Meybohm, E Herrmann, J Nierhoff, K Zacharowski - PloS one, 2013 - journals.plos.org
Background To compare the effect of aprotinin with the effect of lysine analogues
(tranexamic acid and ε-aminocaproic acid) on early mortality in three subgroups of patients …

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 …

Aprotinin in cardiac surgery patients: is the risk worth the benefit?

SC Stamou, MK Reames, E Skipper… - European journal of …, 2009 - academic.oup.com
Background: Aprotinin is the only Food and Drug Administration-approved agent to reduce
haemorrhage related to cardiac surgery and its safety and efficacy has been extensively …