Rise in Angiopoietin-2 Following Neonatal Cardiac Surgery Is Associated With Adverse Clinical Outcomes

Kimberly J. Watkins, Sarah Geisler, Tammy Doman, Matthew Orringer, Paloma Tracy, Sunkyung Yu, Nicole S. Wilder, Mark W. Russell

Pediatric Critical Care Medicine · 2020 · 19 citations · 20 references

Abstract

In neonatal cardiac surgery, longer duration of cardiopulmonary bypass is directly associated with greater endothelial injury as measured by increased serum levels of angiopoietin-2. Angiopoietin-2 levels 24 hours postoperatively were significantly associated with a composite adverse outcome. Postoperative angiopoietin-2 level may serve as an early indicator of patients in need of closer monitoring and protective intervention. Further research into endothelial protective strategies is warranted.

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