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Российский кардиологический журнал

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

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

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Аннотация

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.

Об авторах

João Roberto Breda
Department of Surgery, School of Medicine of ABC, Santo Andre
Бразилия
Сан-Паоло


Ariadne Pires
Department of Surgery, School of Medicine of ABC, Santo Andre
Бразилия
Сан-Паоло


Charles Benjamin Neff
Department of Surgery, School of Medicine of ABC, Santo Andre
Бразилия
Сан-Паоло


Leandro Luongo de Mattos
Department of Surgery, School of Medicine of ABC, Santo Andre
Бразилия
Сан-Паоло


Luiz Carlos de Abreu
Department of Morphology and Physiology, School of Medicine of ABC, Santo André
Бразилия
Сан-Паоло


Vitor E. Valenti
Post-graduate Program of Physiotherapy, Faculty of Sciences and Technology, UNESP, Presidente Prudente
Бразилия
Сан-Паоло


Vivian F. Ribeiro
Cardiology Division, Department of Medicine, UNIFESP, São Paulo
Бразилия
Сан-Паоло


Adriano L. Roque
Cardiology Division, Department of Medicine, UNIFESP, São Paulo
Бразилия
Сан-Паоло


Jose-Luiz Figueiredo
Massachusetts General Hospital and Harvard Medical School
Соединённые Штаты Америки
Бостон, MA


Rodrigo Daminello Raimundo
Department of Morphology and Physiology, School of Medicine of ABC, Santo André
Бразилия
Сан-Паоло


Celso Ferreira
Department of Surgery, School of Medicine of ABC, Santo Andre; Cardiology Division, Department of Medicine, UNIFESP, São Paulo
Бразилия

Сан-Паоло, Av. Principe de Gales, 821. 09060–650



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Для цитирования:


Breda J., Pires A., Neff C., de Mattos L., de Abreu L., Valenti V., Ribeiro V., Roque A., Figueiredo J., Raimundo R., 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

For citation:


Breda J., Pires A., Neff C., de Mattos L., de Abreu L., Valenti V., Ribeiro V., Roque A., Figueiredo J., Raimundo R., Ferreira C. ANALYSIS OF RENAL FUNCTION AFTER ON AND OFF PUMP CORONARY ARTERY BYPASS GRAFTING. Russian Journal of Cardiology. 2014;(7-eng):12-16. https://doi.org/10.15829/1560-4071-2014-7-eng-12-16

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