Evaluation of renal function after mini-invasive myocardial revascularization in high-risk patients with coronary artery disease


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Purpose. To evaluate the renal function in high-risk patients with coronary artery disease (Cad) on the basis OF AN ANALYSIS OF THE IMMEDIATE RESULTS OF MINI-INVASIVE MYOCARDIAL REVASCULARIZATION (MIMR). THE ACTIVE USE OF MIMR in patients WITH cad from the group of high surgical risk raise the urgent issue of assessing renal function AFTER SURGERY. Material and methods. The results of surgical treatment of 1339 high-risk patients with cad in the period from 2003 to 2015 were studied. Patients were divided into two groups. The dynamics of such indicators as creatinine, CYSTATIN C, AND UREA LEVELS WAS FOLLOWED-UP, AND GLOMERULAR FILTRATION RATE WAS ALSO CALCULATED. Results. Statistically significantly better results were obtained in the MIMR group compared with coronary bypass surgery. Conclusion. MIMR has a much smaller impact on kidney function than surgery with artificial circulation, and can be recommended to high-risk patients.

Full Text

Restricted Access

About the authors

A. K Zhalilov

FSBI A.N. Bakulev NMRC CVS of the Ministry of Health of the Russian Federation

Email: jalilov_adham@mail.ru
PhD in Medical Sciences, External Doctorate Student

A. S Vishchipanov

SBEI HE N.I. Pirogov RNRMU of the Ministry of Health of the Russian Federation

Doctor of Medical Sciences, Doctor of Medical Sciences, Associate Professor at the Department of Topographic Anatomy and Operative Surgery

V. Yu Merzlyakov

FSBI A.N. Bakulev NMRC CVS of the Ministry of Health of the Russian Federation

Doctor of Medical Sciences, Head of the Department

I. V Klyuchnikov

FSBI A.N. Bakulev NMRC CVS of the Ministry of Health of the Russian Federation

Doctor of Medical Sciences, Professor, Chief Researcher

A. I Skopin

FSBI A.N. Bakulev NMRC CVS of the Ministry of Health of the Russian Federation

PhD in Medical Sciences, Leading Researcher

A. A Melikulov

FSBI A.N. Bakulev NMRC CVS of the Ministry of Health of the Russian Federation

PhD in Medical Sciences, Cardiovascular Surgeon

References

  1. Бокерия Л.А., Беришвили И.И., Сигаев И.Ю. Минимально инвазивная реваскуляризация миокарда М., 2001. [Bokeriya L.A., Berishvili I.I., Sigayev I.YU. Minimally invasive myocardial revascularization. M., 2001. (In Russ.)].
  2. Maitra G., Ahmed A., Rudra A., Wankhede R., Sengupta S., Das T. Renal dysfunction after off-pump coronary artery bypass surgery- risk factors and preventive strategies. Ind. J. Anaesth. 2009;53(4):401-407.
  3. Hlavicka J., Straka Z., Jelinek S., Budera P., Vanek T., Maly M., Widimsky P. Off-pump versus on-pump coronary artery bypass grafting surgery in high-risk patients: PRAGUE-6 trial at 30 days and 1 year. Biomed. Pap. Med. Fac. Univ. Palacky Olomouc. Czech Repub. 2016;160:263-270. doi: 10.5507/bp.2015.059
  4. Marui A., Okabayashi H., Komiya T., Tanaka S., Furukawa Y., Kita T., Kimura T., Sakata R. Benefits of off-pump coronary artery bypass grafting in high-risk patients. Circulation. 2012;126:151-157. Doi: 10.1161/ CIRCULATIONAHA.111.083873
  5. Dhurandhar V, Saxena A., Parikh R., Vallely M.P., Wilson M.K., Butcher J.K., Black D.A., Tran L., Reid C.M., Bannon P.G. Outcomes of On-Pump versus Off-Pump Coronary Artery Bypass Graft Surgery in the High Risk (AusSCORE >5). Heart Lung Circ. 2015;24:1216-1224. doi: 10.1016/j.hlc.2015.02.009
  6. Kowalewski M., Pawliszak W., Malvindi P.G., Bokszanski M.P, Perlinski D., Raffa G.M., Kowalkowska M.E., Zaborowska K., Navarese E.P., Kolodziejczak M., Kowalewski J., Tarelli G., Taggart D.P., Anisimowicz L. Off-pump coronary artery bypass grafting improves short-term outcomes in high-risk patients compared with on-pump coronary artery bypass grafting: Meta-analysis. J. Thorac. Cardiovasc. Surg. 2016;151:60-77. doi: 10.1016/j.jtcvs.2015.08.042
  7. Wang J., Gu C., Gao M., Yu W., Li H., Zhang F., Yu Y. Comparison of the incidence of postoperative neurologic complications after on-pump versus offpump coronary artery bypass grafting in high-risk patients: A meta-analysis of 11 studies. Int. J. Cardiol. 2015;185:195-197. doi: 10.1016/j.ijcard.2015.03.115
  8. Rogers C.A., Pike K., Campbell H., Reeves B.C., Angelini G.D., Gray A., Altman D.G., Miller H., Wells S. Coronary artery bypass grafting in high-Risk patients randomised to off- or on-Pump surgery: a randomised controlled trial (the CRISP trial). Health Technol Assess. 2014;18:18(44)y-xx, 1-157. doi: 10.3310/hta18440.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies