Journals / Cardiovascular surgery and interventions / 2021 / Cilt: 8 - Sayı: 2

The effect of cardiopulmonary bypass time on renal function aftercoronary artery bypass grafting

Pages
78–85
Publication Date
2022-10-12
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Results: In all three groups, a statistically significant decrease in hemoglobin and estimated glomerular filtration rate (eGFR) valuesand a statistically significant increase in blood urea nitrogen (BUN) and creatinine values were found (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: In this study, we aimed to evaluate the effect of duration of cardiopulmonary bypass (CPB) on postoperative acute kidneyinjury (AKI) in patients who underwent coronary artery bypass grafting (CABG).
📊
Key Findings & Data:Patients and methods: A total of 251 patients (222 males, 29 females; mean age: 61±9.4 years; range, 37 to 88 years) who underwent electiveCABG operation between January 2014 and January 2018 were retrospectively analyzed.
💡
Conclusion & Impact:Results: In all three groups, a statistically significant decrease in hemoglobin and estimated glomerular filtration rate (eGFR) valuesand a statistically significant increase in blood urea nitrogen (BUN) and creatinine values were found (p
🔬Design:Research Article
📍Scope:2014 Verileri
⚙️Variables:Domain Parameters

Abstract

Objectives: In this study, we aimed to evaluate the effect of duration of cardiopulmonary bypass (CPB) on postoperative acute kidneyinjury (AKI) in patients who underwent coronary artery bypass grafting (CABG). Patients and methods: A total of 251 patients (222 males, 29 females; mean age: 61±9.4 years; range, 37 to 88 years) who underwent electiveCABG operation between January 2014 and January 2018 were retrospectively analyzed. The patients were divided into three groups byconsidering the duration of CPB as 0 to 60 min (Group 1), 60 to 120 min (Group 2), and ≥120 min (Group 3). Preoperative, operative, andpostoperative data and renal functions of the patients were evaluated using the Acute Kidney Injury Network (AKIN) criteria. Results: In all three groups, a statistically significant decrease in hemoglobin and estimated glomerular filtration rate (eGFR) valuesand a statistically significant increase in blood urea nitrogen (BUN) and creatinine values were found (p

🔖

Cite This Article

EYGİ, B., BEŞİR, Y., İŞCAN, Ş., GÖKALP, O., GÜRBÜZ, M., SERİN, B., PEKEL, D., İNER, H., YEŞİLKAYA, N., YAKUT, N. (2022). The effect of cardiopulmonary bypass time on renal function aftercoronary artery bypass grafting. Cardiovascular surgery and interventions, Cilt: 8 - Sayı: 2, 78–85. https://ajindex.com/articles/471072

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Brodie JE, Johnson RB, editors. The manual of clinical perfusion. 2nd ed. Augusta, GA: Glendale Medical Corporation; 1994. Çeviri editörleri: Zeybek R, İşkesen İ. Klinik Perfüzyon El Kitabı. Manisa: Meta Basım; 1999
  2. Bilgili B, Haliloğlu M, Cinel İ. Sepsis ve akut böbrek hasarı. Turk J Anaesth Reanim 2014;42:294-301
  3. Alkan Bozkaya T. Kalp cerrahisi sonrasında organ hasarının erken belirteçleri olarak biyo-belirteçler. JOHESAM 2015;5:65-74
  4. Özhan A, Akgül E, Parlar Aİ, Çekirdekçi A. The association of blood transfusion and acute kidney injury in diabetic coronary artery bypass grafting patients. Cardiovasc Surg Int 2021;8:13-9
  5. Kaul TK, Swaminathan R, Chatrath RR, Watson DA. Vasoactive pressure hormones during and after cardiopulmonary bypass. Int J Artif Organs 1990;13:293-9
  6. Mehta RL, Kellum JA, Shah SV, Molitoris BA, Ronco C, Warnock DG, et al. Acute Kidney Injury Network: report of an initiative to improve outcomes in acute kidney injury. Crit Care 2007;11:R31
  7. ElBardissi AW, Aranki SF, Sheng S, O'Brien SM, Greenberg CC, Gammie JS. Trends in isolated coronary artery bypass grafting: An analysis of the Society of Thoracic Surgeons adult cardiac surgery database. J Thorac Cardiovasc Surg 2012;143:273-81
  8. Lee JH, Murrell HK, Strony J, Cmolik B, Nair R, Lesnefsky E, et al. Risk analysis of coronary bypass surgery after acute myocardial infarction. Surgery 1997;122:675-80
  9. Uchino S, Bellomo R, Bagshaw SM, Goldsmith D. Transient azotaemia is associated with a high risk of death in hospitalized patients. Nephrol Dial Transplant 2010;25:1833-9
  10. Unal E, Ozen A, Boysan E, Tak S, Basar V, Turkcan B, et al. Serum interleukin-18 as an early marker of acute kidney injury following open heart surgery. Turk Gogus Kalp Dama 2014;22:483-8
  11. Tuttle KR, Worrall NK, Dahlstrom LR, Nandagopal R, Kausz AT, Davis CL. Predictors of ARF after cardiac surgical procedures. Am J Kidney Dis 2003;41:76-83
  12. Bove T, Calabrò MG, Landoni G, Aletti G, Marino G, Crescenzi G, et al. The incidence and risk of acute renal failure after cardiac surgery. J Cardiothorac Vasc Anesth 2004;18:442-5
  13. Thakar CV, Yared JP, Worley S, Cotman K, Paganini EP. Renal dysfunction and serious infections after open-heart surgery. Kidney Int 2003;64:239-46
  14. Han SS, Shin N, Baek SH, Ahn SY, Kim DK, Kim S, et al. Effects of acute kidney injury and chronic kidney disease on long-term mortality after coronary artery bypass grafting. Am Heart J 2015;169:419-25
  15. Karko