АНАЛИЗ ФУНКЦИИ ПОЧЕК ПОСЛЕ ON-PUMP И OFF-PUMP АОРТОКОРОНАРНОГО ШУНТИРОВАНИЯ

J. R. Breda; A. Pires; C. B. Neff; L. L. de Mattos; L. C. de Abreu; V. E. Valenti; V. F. Ribeiro; A. L. Roque; J. Figueiredo; R. D. Raimundo; C. Ferreira

Статья

АНАЛИЗ ФУНКЦИИ ПОЧЕК ПОСЛЕ ON-PUMP И OFF-PUMP АОРТОКОРОНАРНОГО ШУНТИРОВАНИЯ

J. R. Breda, A. Pires, C. B. Neff, L. L. de Mattos, L. C. de Abreu, V. E. Valenti, V. F. Ribeiro, A. L. Roque, J. Figueiredo, R. D. Raimundo, C. Ferreira

2014

https://doi.org/10.15829/1560-4071-2014-7-eng-12-16

Кардиопульмонарное шунтирование (CPB) часто ассоциируется с дисфункцией почек, как следует из анализа уровней креатинина в плазме и уровней гемодиализа.Цель. Сравнить клиренс креатинина (CrCl), рассчитанного по формуле Кокрофта-Голта, у пациентов, перенесших off-pump коронарное шунтирование (OPCAB) и on-pump коронарное шунтирование (on-CAB).Материал и методы. В период с апреля 2008 г. по апрель 2009 г., 119 пациентов, были подвергнуты коронарному шунтированию. Пятьдесят восемь (58) из этих пациентов прошли OPCAB, в то время как 61 — (onCAB). Клиренс креатинина, уровень креатинина плазмы, и клинические результаты сравнивались между группами. Значение клиренса креатинина 50 мл/мин было принято в качестве минимального предела нормальной функции почек.Результаты. Были два смертельных случая в больнице, вызванных сепсисом после легочной инфекции. Клиренс креатинина (предоперационная OPCAB 73,64±33,72 x on-CAB 75,70±34,30мл/мин; постоперационная величина OPCAB 75,73±35,07 x on-CAB 79,07±34,71 мл/мин; p=0,609) и уровни креатинина (предоперационная OPCAB 1,04±0,38 x on-CAB 1,13±0,53 мг/дл; постоперационное значение OPCAB 1,12±0,79 x on-CAB 1,04±0,29mg/дл; р=0,407) не имеют статистических различий между группами.Заключение. Ухудшение функции почек ассоциируется с более высокой частотой послеоперационных осложнений. Существенной разницы в значениях уровня креатинина, не может быть продемонстрировано между группами.

Breda J. R., Pires A., Neff C. B., de Mattos L. L., de Abreu L. C., Valenti V. E., Ribeiro V. F., Roque A. L., Figueiredo J., Raimundo R. D., Ferreira C. АНАЛИЗ ФУНКЦИИ ПОЧЕК ПОСЛЕ ON-PUMP И OFF-PUMP АОРТОКОРОНАРНОГО ШУНТИРОВАНИЯ. Российский кардиологический журнал. 2014;(7-eng):12-16. https://doi.org/10.15829/1560-4071-2014-7-eng-12-16

Цитирование

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Информация

Автор

J. R. Breda Department of Surgery, School of Medicine of ABC, Santo Andre
A. Pires Department of Surgery, School of Medicine of ABC, Santo Andre
C. B. Neff Department of Surgery, School of Medicine of ABC, Santo Andre
L. L. de Mattos Department of Surgery, School of Medicine of ABC, Santo Andre
L. C. de Abreu Department of Morphology and Physiology, School of Medicine of ABC, Santo André
V. E. Valenti Post-graduate Program of Physiotherapy, Faculty of Sciences and Technology, UNESP, Presidente Prudente
V. F. Ribeiro Cardiology Division, Department of Medicine, UNIFESP, São Paulo
A. L. Roque Cardiology Division, Department of Medicine, UNIFESP, São Paulo
J. Figueiredo Massachusetts General Hospital and Harvard Medical School
R. D. Raimundo Department of Morphology and Physiology, School of Medicine of ABC, Santo André
C. Ferreira Department of Surgery, School of Medicine of ABC, Santo Andre; Cardiology Division, Department of Medicine, UNIFESP, São Paulo

Название журнала

Российский кардиологический журнал

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Статья