Cardiothoracic & vascular anesthesia

Hypotension During Cardioplegia Administration: Does the Route of Delivery Matter?

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Authors' conclusion

The incidence of intermittent vasoplegia during cardioplegia administration was significantly higher when delivered retrograde.

Study context

Population
Adult cardiac surgical patients requiring CPB, tertiary care academic medical center
Participants
113 patients
Exposure
Retrograde vs antegrade subsequent cardioplegia administration
Outcome
Significant hypotension per cardioplegia administration
Methodological detailssingle-centre, automatically captured hemodynamic data from electronic perfusion record
  • Single-centre
  • Automatically captured hemodynamic data from electronic perfusion record

Main finding

As reported in the abstract

GroupValueAdministrations
Retrograde35.8%246
Antegrade22.2%99

Value

Retrograde35.8%
Antegrade22.2%

Administrations

Retrograde246
Antegrade99
  • Retrograde vs Antegrade: P = 0.021

Observational data: associations, not effects.

Further findings

Patients with at least one 3 SD MAP decline (patient-level analysis)

P = 0.003

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Hypotension During Cardioplegia Administration: Does the Route of Delivery Matter? J Cardiothorac Vasc Anesth. Published 9 July 2025. doi:10.1053/j.jvca.2025.07.011

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.