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Table 1 Perioperative changes in sublingual perfused vessel density (PVD), functional capillary density (FCD), and proportion of perfused vessels (PPV) per study

From: Microcirculatory perfusion disturbances following cardiopulmonary bypass: a systematic review

Study

n

Technique

Study groups

Pre-CPB

CPB

Post-CPB

Induction

Onset of CPB

End of CPB

Post-CPB

ICU

24 h after surgery

48 h after surgery

72 h after surgery

Atasever et al. [12]

24

SDF

CABG

–

↓ FCD

–

–

–

–

–

–

Bauer et al. [13]

47

OPS

CS

–

~ FCD

↓ FCD

~ FCD

–

–

–

–

Bienz et al. [28]

16

SDF

CABG

~ PVD

~ PVD

~ PVD

~ PVD

~ PVD

–

–

–

De Backer et al. [14]

9

OPS

CS

↓ PVD/PPV

↓ PVD/PPV

–

↓ PVD/PPV

↓ PVD/PPV

~ PVD, ↓ PPV

–

–

Dekker et al. [15]

17

SDF

CABG

~ PVD/PPV

↓ PVD/PPV

–

↓ PVD/PPV

↓ PVD/PPV

↓ PVD/PPV

–

↓ PVD/PPV

Donndorf et al. [16]

40

OPS

CABG

–

↓ FCD

↓ FCD

~ FCD

–

–

–

–

  

CABG with MECC

–

↓ FCD

~ FCD

~ FCD

–

–

–

–

Donndorf et al. [17]

20

OPS

AVR

–

↓ FCD

↓ FCD

~ FCD

–

–

–

–

  

AVR with MECC

–

↓ FCD

↓ FCD

~ FCD

–

–

–

–

Holmgaard et al. [21]

30

SDF

CABG with HMAP

–

~ PVD/PPV

–

~ PVD/PPV

–

–

–

–

  

CABG with LMAP

–

~ PVD/PPV

–

~ PVD/PPV

–

–

–

–

Koning et al. [24]

33

SDF

CABG non-pulsatile CPB

–

~ PVD

~ PVD

↓ PVD

↓ PVD

–

–

–

  

CABG pulsatile CPB

–

~ PVD

~ PVD

~ PVD

~ PVD

–

–

–

Koning et al. [31]

13

SDF

CABG

 

~ PVD

↓ PVD

↓ PVD

↓ PVD

–

–

–

Koning et al. [26]

24

SDF

CABG non-pulsatile CPB

–

↓ PVD

–

↓ PVD

–

–

–

–

  

CABG pulsatile CPB

–

↓ PVD

–

~ PVD

–

–

–

–

Mohamed et al. [22]

70

SDF

CABG regular anesthesia

–

~ PVD/PPV

–

~ PVD/PPV

–

–

–

–

  

CABG dexmedetomidine

–

~ PVD/PPV

–

~ PVD/PPV

–

–

–

–

O’Neil et al. [18]

20

OPS

CS with non-pulsatile CPB

–

~ PPV

~ PPV

↓ PPV

↓ PPV

↓ PPV

↓ PPV

–

  

CS with pulsatile CPB

–

~ PPV

~ PPV

~ PPV

~ PPV

~ PPV

~ PPV

–

O’Neil et al. [19]

20

OPS

CS with non-pulsatile CPB

–

~ PPV

↓ PPV

↓ PPV

–

↓ PPV

–

–

  

CS with pulsatile CPB

–

~ PPV

~ PPV

~ PPV

–

~ PPV

–

–

Özarslan et al. [20]

30

OPS

CABG sevoflurane

~ PVD/PPV

~ PVD, ↓ PPV

–

~ PVD/PPV

–

~ PVD/PPV

–

–

  

CABG isoflurane

~ PVD/PPV

↓ PVD/PPV

–

~ PVD/PPV

–

~ PVD/PPV

–

–

  

CABG desflurane

~ PVD/PPV

↓ PVD/PPV

–

~ PVD/PPV

–

~ PVD/PPV

–

 

Prestes et al. [23]

22

SDF

CS

–

~ PVD/PPV

~ PVD/PPV

~ PVD/PPV

–

–

–

–

Yuruk et al. [27]

20

SDF

CABG

–

↓ PVD

–

~ PVD

–

–

–

–

  

CABG with MECC

–

~ PVD

–

~ PVD

–

–

–

–

  1. A downward facing arrow (↓) represents a significant decrease compared to baseline measurement, ~ represents no significant change compared to baseline measurement. FCD functional capillary density, PVD perfused vessel density, PPV proportion of perfused vessels, CPB cardiopulmonary bypass, SDF side-stream dark field imaging, OPS orthogonal polarization spectral imaging, n number of participants, h hours, CS cardiac surgery, CABG coronary artery bypass grafting, MECC minimal extracorporeal circulation, LMAP low mean arterial pressure; HMAP, high mean arterial pressure