To characterize the changes in circulating cell-free DNA (cfDNA) levels during cardiopulmonary bypass (CPB) and to access their association with outcomes compared to standard scores.
In a prospective study, the investigators enrolled seventy-one consecutive patients undergoing non-emergent coronary artery bypass grafting. Blood was drawn at baseline, after 20 and 40 minutes on CPB, after cross-clamp removal, and 30 minutes after chest closure. cfDNA was measured in sera by fluorescent method. The investigators hypothesize that cfDNA measured by will reflect the magnitude of inflammation induced by CPB. Thus, these measurements could serve for the real-time prognosis of patients undergoing cardiac surgery. The investigators correlate cFDNA to laboratories and clinical outcomes.
Study Type
OBSERVATIONAL
Enrollment
71
5 blood samples for each patient during CABG (coronary artery bypass grafting) surgery pre/on/post cardiopulmonary bypass machine
prolong LOS-length of stay
intensive care unit length of stay
Time frame: > 18 hours after the surgery
Mortality
Mortality
Time frame: short term - 30day; long term > 1year
Neutrophil-NETosis
Neutrophil extracellular traps (NETs) released from activated neutrophils that undergo NETosis.
Time frame: 2 hours after the surgery
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