Open Heart Surgery in Patients with End-Stage Renal Failure: Fifteen-Year Experience

Bahar, İlknur; Akgül, Ahmet; Demirbağ, Ali Eba; Altinay, Levent; Thompson, Larry O.; Boran, Mediha; Özatık, Mehmet Ali; Birincioğlu, Levent

doi:10.1111/j.1540-8191.2008.00706.x

Cited by 6 publications

(6 citation statements)

References 23 publications

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“…In our view, this is of paramount importance and can not been analyzed in detail yet. Although factors predisposing to low cardiac output syndrome (LCOS) have been described, the etiology of LCOS after heart surgery still remains somewhat obscure [2,11]. Remarkably, a low cardiac output in our study constituted a high risk manifestation, exceeding the importance of "surgical" complications such as prolonged cross-clamping times and redo operations.…”

mentioning

confidence: 55%

“…Although satisfactory results have been achieved according to the recent literature, higher complication and mortality rates have been simultaneously reported in octogenarians compared to younger patients [1]. Considerable concerns remain about the role of coexisting renal failure and neurological complications [2]. A higher surgical complexity in octogenarians has been reported in a study which included 641 patients over 80 years of age.…”

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confidence: 99%

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Predictors of Postoperative Complications in Octogenarians Undergoing Cardiac Surgery

Schurr¹,

Boeken²,

Litmathe³

et al. 2010

Thorac cardiovasc Surg

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confidence: 55%

mentioning

confidence: 99%

Predictors of Postoperative Complications in Octogenarians Undergoing Cardiac Surgery

Schurr¹,

Boeken²,

Litmathe³

et al. 2010

Thorac cardiovasc Surg

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“…The first involves preoperative undernutrition, anemia, electrolyte abnormalities, bleeding tendency, and decreased immune function [6][7][8][9][10][11][12][13]. In the present study, preoperative cardiac comorbidity factors included angina pectoris and myocardial infarction, and were seen at a high frequency in 8 of the 21 patients (38%).…”

Section: Discussionmentioning

confidence: 83%

Perioperative Complications in Patients with End-Stage Renal Disease Undergoing Pulmonary Resection

Suehiro¹,

Okutani²

2011

J Anesthe Clinic Res

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Introduction: Among the perioperative complications encountered in patients with renal failure, there is a high risk of events such as heart failure and increased susceptibility to infection. Herein, we report the results of our investigation of perioperative management in patients with chronic renal failure who underwent a pulmonary resection. Methods:The subjects were 21 hemodialysis patients with renal failure who underwent pulmonary resection for lung cancer. We retrospectively investigated their clinical characteristics and perioperative management. The patients were classified into two groups; those with and without symptoms of postoperative acute heart failure. Intergroup comparisons of preoperative examinations and management were performed. Results:The most common preoperative comorbidity was cardiac complications, which occurred at a high incidence of 38%. There were no serious perioperative complications. In contrast, postoperative complications associated with renal failure were numerous, including acute heart failure in 3 (14%) and hyperkalemia in 2 (9.5%). We concluded that preoperative respiratory function, intraoperative fluid infusion volume, and preoperative cardiac comorbidities are potential risk factors for postoperative heart failure in such patients. Conclusion:Although there were no cases with perioperative mortality, postoperative complications were encountered, including heart failure and hyperkalemia, suggesting that more stringent cardiovascular and respiratory management techniques are necessary.

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“…heart surgery versus those with normal functioning kidneys. [6] Novel operative techniques and preoperative management are necessary for favorable surgical and long-term outcomes. [7,8] In order to obtain positive surgical results, special attention should be given to problems such as fluid and electrolyte imbalance, improper hemodynamics, and bleeding at each period of the operation.…”

Section: Resultsmentioning

confidence: 99%

“…[12,13] However, when CABG was combined with valve replacement, the ratio declined to 70%, [14] and five-year survival rates have been chronicled as low as 20%. [6] Furthermore, the reported hospital mortality rates have ranged between 0 and 20%. [13,15] Durmaz et al [16] showed that prophylactic dialysis might decrease postoperative morbidity and mortality, and they reported a 12.5% hospital mortality rate along with a 75% complication rate.…”

Section: Resultsmentioning

confidence: 99%

The effects of perioperative ultrafiltration on postoperative outcomes in dialysis-dependent patients undergoing open heart surgery

Çoşkun¹

2013

Turk Gogus Kalp Dama

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Amaç: Bu çalışmada açık kalp cerrahisi yapılan hemodiyalize bağımlı hastalarda perioperatif ultrafiltrasyonun (UF) ameliyat sonrası sonuçları üzerine etkileri araştırıldı. Ça lış mapla nı:Mart 2000 -Mayıs 2008 tarihleri arasında açık kalp ameliyatı yapılan hemodiyalize bağımlı 46 hasta çalışmaya dahil edildi. Hastalar ultrafiltrasyon (UF) kullanımına göre iki gruba ayrıldı: UF (+) ve UF (-) grubu. Tüm hastalar ameliyattan bir gün önce ve ameliyattan iki gün sonra hemodiyalize alındı. Kırk altı hastanın 26'sına ameliyat sırasında UF yapıldı (UF (+) grubu). Her iki grubun yoğun bakımda kalış süresi dahil olmak üzere, hastanede kalış süreleri ve morbidite ve mortalite oranları karşılaştı-rıldı. Ameliyat öncesi ve sonrası santral venöz basınçları, kan üre nitrojen (BUN), kreatinin, serum potasyum ve hemoglobin (Hgb) konsantrasyonları incelendi. Bul gu lar: Yoğun bakımda kalış süresi (sırasıyla 56±28 saat ve 95±93 saat; p= 0.04) ve hastanede kalış süresi (sırasıyla 5.5±1.4 gün ve 8.1±3.4 gün; p= 0.002) gruplar arasında anlamlı olarak farklı idi. Gruplar arasında ameliyat sonrası ortalama BUN (sırasıyla 50.6±13.5 mg/dl ve 59.8±13.7 mg/dl; p= 0.02) ve hemoglobin düzeylerinde (sırasıyla 9.9±1.0 g/dl ve 8.8±0.9 g/dl; p= 0.001) anlamlı farklılıklar vardı. So nuç:Diyalize bağımlı hastalarda açık kalp perioperatif UF uygulaması, hastanede kalış süresini kısaltabilir ve biyokimyasal ve hemodinamik parametrelerde iyileşme sağlayabilir.Anah tar söz cük ler: Diyalize bağımlı hasta; açık kalp cerrahisi; ultrafiltrasyon.

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Open Heart Surgery in Patients with End-Stage Renal Failure: Fifteen-Year Experience

Abstract: Open heart surgery in hemodialysis patients is associated with a higher incidence of risks, but can be performed with acceptable operative complications and mortality with an effective hemodialysis program.

Cited by 6 publications

References 23 publications

Predictors of Postoperative Complications in Octogenarians Undergoing Cardiac Surgery

Predictors of Postoperative Complications in Octogenarians Undergoing Cardiac Surgery

Perioperative Complications in Patients with End-Stage Renal Disease Undergoing Pulmonary Resection

The effects of perioperative ultrafiltration on postoperative outcomes in dialysis-dependent patients undergoing open heart surgery

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