Cardiothoracic & vascular anesthesia

Effect of del Nido Cardioplegia on Isolated Coronary Artery Bypass Grafting: A Study-level Meta-analysis

J Cardiothorac Vasc AnesthPublished Systematic review and meta-analysis of randomised and observational studies

Authors' conclusion

In patients undergoing isolated CABG, del Nido cardioplegia provides comparable mortality compared with other cardioplegic solutions.

Study context

Population
Patients undergoing isolated coronary artery bypass grafting (CABG)24 studies (4 RCTs, 5 PSM)
Participants
34,737 patients
Comparison
Del Nido cardioplegia vs other cardioplegic solutions
Outcome
Operative mortality and morbidities (major end points)
Methodological detailsstudy-level, random effects model, subgroup analyses by RCT, propensity score and multivariable analysis
  • Study-level
  • Random effects model
  • Subgroup analyses by RCT, propensity score and multivariable analysis

Pooled result

As reported in the abstract

Operative mortality
  • Del Nido vs Other solutions: P = 0.262

Further pooled results

OutcomePooled OR (95% CI)
Postoperative MISubgroup analyses also significant0.43 (0.24–0.77)
Postoperative renal failureSubgroup analyses also significant0.61 (0.45–0.81)

Postoperative stroke, reoperation, deep wound infection, AF

Comparable between the 2 groups

Original publication

Effect of del Nido Cardioplegia on Isolated Coronary Artery Bypass Grafting: A Study-level Meta-analysis. J Cardiothorac Vasc Anesth. Published 13 January 2025. doi:10.1053/j.jvca.2025.01.007

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