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  • Title: Neutrophil gelatinase-associated lipocalin after off pump versus on pump coronary artery surgery.
    Author: Lipcsey M, Hayward P, Haase M, Haase-Fielitz A, Eastwood G, Peck L, Matalanis G, Bellomo R.
    Journal: Biomarkers; 2014 Feb; 19(1):22-8. PubMed ID: 24475761.
    Abstract:
    CONTEXT: Cardiac surgery. OBJECTIVE: To compare plasma and urinary neutrophil gelatinase-associated lipocalin (P-/U-NGAL) in on-pump (n = 43) versus off-pump (n = 40) surgery. MATERIALS AND METHODS: We obtained perioperative P-/U-NGAL and outcome data. RESULTS: P-/U-NGAL increased after surgery. P-NGAL was higher post-surgery in on pump patients (139 versus 67 µg L(-1); p < 0.001), but not at 24 h. There were no differences in U-NGAL. Correlation between P-/U-NGAL and plasma creatinine was weak. DISCUSSION: P-NGAL acts like a neutrophil activation biomarker and U-NGAL like a tubular injury marker. CONCLUSION: On-pump patients had greater neutrophil activation. On- versus off-pump surgery had similar impact on tubular cells.
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