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Vascular and Endovascular Surgery
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ATP, Creatine Phosphate and Glycogen Content in Human Myocardial Biopsies: Markers for the Efficacy of Cardioprotection During Aorto-Coronary Bypass Surgery

Ger J. van der Vusse

Department of Physiology, Biomedical Center, University of Limburg, Maastricht, The Netherlands

Will A. Coumans

Department of Physiology, Biomedical Center, University of Limburg, Maastricht, The Netherlands

Erik van der Veen

Department of Physiology, Biomedical Center, University of Limburg, Maastricht, The Netherlands

Angela J. Drake

Midhurst Medical Research Institute, Midhurst, England

Willem Flameng

Department of Cardiovascular Surgery, St. Rafael Clinics, Leuven, Belgium

Raf Suy

Department of Cardiovascular Surgery, St. Rafael Clinics, Leuven, Belgium

Measurements of the myocardial content of ATP, creatine phosphate and glycogen provide a sensitive marker of the effect of inevitably global ischemia on myocardial tissue during aorto-coronary bypass surgery and give insight in the efficacy of various cardioprotective techniques. Continuous aortic cross clamping for performance of the distal anastomoses with multidose St. Thomas cardioplegia did not result in significant changes in the myocardial ATP, creatine phosphate and glycogen content. In contrast, hypothermic intermittent crossclamping resulted in a significant reduced tissue content of these markers of myocardial ischemia.

Vascular and Endovascular Surgery, Vol. 18, No. 3, 127-134 (1984)
DOI: 10.1177/153857448401800301
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