Remote Ischemic Preconditioning in Cardiac Surgery: Is There a Proven Clinical Benefit?

Remote Ischemic Preconditioning in Cardiac Surgery: Is There a Proven Clinical Benefit?: PROTECTING THE MYOCARDIUM from ischemic injury during aortic cross-clamping and from reperfusion injury following release of the aortic cross-clamp is one of the most important goals of cardioplegia in cardiac surgery. Inadequate protection may manifest as either arrhythmias or myocardial stunning upon termination of cardiopulmonary bypass. It also may lead to more permanent complications including renal failure and increased short- and long-term mortality. Unfortunately there still are limited ways to provide perioperative myocardial protection.

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