Table 1. Study characters of enrolled clinical trials.
Authors, years, journals | Sample size | Arterial Grafts | Drug application | Drug dosage | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
NMA study lists | Journal | Total | DILT | NTG | Placebo | IMA | Radial | Drug starting | Drug ending | Drug route | DILT dosage | NTG dosage |
Donegani 1986[23] | Thorac cardiovas Surgeon | 40 | 20 | 20 | not specified | induction GA | 48 h after releasing aortic cross clamp | IV infusion | 0.5~3.0 mcg/kg/min | 0.5 ~1.5 mcg/kg/min | ||
Hannes 1993[24] | Eur J Cardiothorac Surg | 91 | 44 | 47 | Yes | initiation of CPB | 24 h after releasing aortic cross clamp | IV infusion | 0.1 mg/kg/h | 1 mcg/kg/min | ||
Seitelberger 1994[25] | J Thorac Cardiovasc Surg | 120 | 60 | 60 | Yes | initiation of CPB | 24h after releasing of aortic cross clamp | IV infusion | 0.1 mg/kg/h | 1 mcg/kg/min | ||
Hannes 1995[26] | European Heart Journal | 66 | 31 | 33 | Yes | initiation of CPB | 24 h after releasing aortic cross clamp | IV infusion | 0.1 mg/kg/h | 1 mcg/kg/min | ||
Keilich 1997[27] | International Journal of Angiology | 211 | 104 | 107 | Yes | initiating CPB | 24 h after releasing aortic cross clamp | IV infusion | 0.1 mg/kg/h | 1 mcg/kg/min | ||
Malhotra 1997[28] | Eur J Cardiothorac Surg | 71 | 34 | 37 | Yes | initiation of CPB | 24 h after starting drug infusion | IV infusion | 0.1 mg/kg/h | 1 mcg/kg/min | ||
Lischke 1997[29] | Anesthetist | 55 | 29 | 26 | not specified | before induction of GA | reach ICU postoperatively | IV bolus and infusion | 0.15 mg/kg, then 3mcg/kg/min | 1 mcg/kg/min | ||
Shapira 2000[30] | Ann Thorac Surg | 161 | 77 | 84 | Yes | induction GA | 24h post operatively | IV infusion, oral | 0.1mg/kg/min | 0.1 mcg/kg/min | ||
Lassnigg 2001[31] | Wien Klin Wochenschr | 49 | 24 | 25 | Yes | initiation of CPB | 24 h post op | IV infusion | 0.1 mg/kg/h | 1 mcg/kg/min | ||
Hirnle 2000[32] | kardiol Pol | 49 | 24 | 25 | Yea | 48 h before CABG | 24 h post op | oral and IV infusion | 0.1mg/kg/min | 1mg/h | ||
Zhang 2003[33] | Natl Med J China | 40 | 20 | 20 | Yes | initiation of CPB | 24 h after releasing of aortic cross clamp | IV infusion | 0.1 mg/kg/h | 1mcg/kg/min | ||
Tabel 2004[34] | Eur J Cardiothorac Surg | 60 | 30 | 30 | Yes | Sternotomy | after second flow measurement | IV infusion | 0.05~0.1 mg/kg/h | 0.25~2.5 mcg/kg/min | ||
Colson 1992[35] | J Cardiothorac Vasc Anesth | 29 | 15 | 14 | not specified | induction of GA | IV infusion | 2ug/kg/min | ||||
Zanardo 1993[36] | J Cardiothorac Vasc Anesth | 24 | 12 | 12 | not specified | induction of GA | 24 h post op | IV infusion | 2mcg/kg/min | |||
Amano 1995[37] | Chest | 23 | 13 | 10 | not specified | Sternotomy | not specified | IV bolus, infusion and oral | 0.1 mg/kg bolus, 2 mcg/kg/min until unclamp, then oral 30mg q8h | |||
Babin-Ebell 1996[38] | Eur J Cardio-thoracic Surg | 70 | 33 | 37 | Yes | induction GA | 72h after releasing aortic cross clamp | IV infusion | 0.1 mg/kg/h | |||
Yavuz 2002[39] | Med Sci Monit | 30 | 15 | 15 | Yes | 24 h pre-op | 48 h post op | IV infusion | 2 mcg kg/min | |||
Fansa 2003[40] | Med Sci Monit | 30 | 15 | 15 | Yes | initiation of CPB | conclusion of CPB | IV infusion | ||||
Erdem 2015[41] | Bra J Cardiovas Surg | 140 | 70 | 70 | Yes | yes | induction of GA | IV infusion | 2.5 mcg/kg/min | |||
Thomson 1984[42] | Anesthesiology | 20 | 9 | 11 | not specified | before induction of GA | until opening of pericardium | IV infusion | 0.5 mcg/kg/min | |||
Gallagher 1986[43] | Anesthesiology | 81 | 41 | 40 | not specified | initiating CPB | no specified | IV infusion | 1 mcg/kg/min | |||
Withington 1988[44] | European Heart Journal | 14 | 7 | 7 | not specified | releasing cross clamp | not specified | IV infusion | 1 mcg/kg/min | |||
Lell et al. 1993[45] | J Card Surg | 30 | 20 | 10 | Yes | Induction of GA | initiation of CPB | IV infusion | 1 or 2 mcg/kg/min | |||
Knothe 1993[46] | Herz | 30 | 15 | 15 | Yes | induction of GA | after releasing aortic cross clamp | IV infusion | 1.5 mcg/kg/min | |||
Apostolidou 1999[47] | Ann Thorac Surg | 47 | 30 | 17 | Yes | after releasing aortic cross clamp | 24 h post op | IV infusion | 0.5~1 mcg/kg/min | |||
Chen 2000[48] | Chinese Journal of Surgery | 40 | 20 | 20 | not specified | 30 mins before induction of GA | 24 h post op | IV infusion | 10ug/kg/min | |||
Zvara 2000[49] | J Cardiothorac Vasc Anesth | 39 | 20 | 20 | Yes | induction of GA | 6 h after extubation | IV infusion | 2 mcg/kg/min |
NMA, network meta-analysis; CABG, coronary artery bypass graft; CPB, cardiopulmonary bypass; GA, general anesthesia; IV, intravenous.