Valve Replacement Surgery in Patients With End‐stage Renal Disease: Long‐term Results

Gültekin, Bahadır; Özkan, Süleyman; Uğuz, Emrah; Atalay, Hakan; Akay, Tankut; Arslan, Ahmet; Sezgin, Atilla; Özdemir, Nurhan; Taşdelen, Atılay; Aşlamacı, Sait

doi:10.1111/j.1525-1594.2005.00171.x

Cited by 12 publications

(8 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The early mortality in dialysis-dependent patients undergoing cardiac surgery ranges from 0 to 36.7%. [14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29]32,[36][37][38][39][40] Our experience confirms these results with a 30-day mortality of 17.6%. The highest mortality rates occurred in patients subjected to combined procedures.…”

Section: Discussionsupporting

confidence: 71%

Cardiac Surgery in Dialysis-Dependent Patients: Impact of Gender on Early Outcome in Single-Center Experience with 204 Consecutive Cases

Deutsch

Spiliopoulos

Kiask

et al. 2013

Thorac cardiovasc Surg

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 71%

Cardiac Surgery in Dialysis-Dependent Patients: Impact of Gender on Early Outcome in Single-Center Experience with 204 Consecutive Cases

Deutsch

Spiliopoulos

Kiask

et al. 2013

Thorac cardiovasc Surg

View full text Add to dashboard Cite

show abstract

“…Over the follow-up period, four bleeding events occurred in the 24 patients who received mechanical prostheses, compared with one bleeding event in the three patients who received bioprostheses. Gultekin described the outcomes of 29 patients with ESRD receiving dialysis who underwent 30 (29 mechanical prostheses and one bioprosthesis) heart valve replacement operations 18. Thirty-day mortality was 3.4%, whereas 5-year actuarial survival was 47%.…”

Section: Resultsmentioning

confidence: 99%

Heart valve prosthesis selection in patients with end-stage renal disease requiring dialysis: a systematic review and meta-analysis

Chan

Chen

Mesana

et al. 2011

Heart

View full text Add to dashboard Cite

A meta-analysis of the published literature demonstrates no survival difference following valve replacement with either bioprostheses or mechanical prosthesis in patients with ESRD on dialysis. Bioprosthetic valve replacement was associated with fewer valve-related complications. Although this meta-analysis cannot discriminate between the sites of valve implant, these data can likely be extended to include at least aortic valve replacement.

show abstract

“…Hemodynamic, inflammatory, metabolic and nephrotoxic factors are involved and overlap each other, which leads to further aggravation of renal failure. Preoperative risk factors include advanced age, impaired left ventricular function or congestive HF, diabetes, chronic obstructive pulmonary disease, and the urgency of the operation [7,8].…”

Section: Discussionmentioning

confidence: 99%

Cardiac surgery in patients with chronic renal failure

et al. 2017

View full text Add to dashboard Cite

Introduction/Objective Patients with chronic renal failure (CRF) undergoing cardiac surgery are believed to have more postoperative complications and significantly higher mortality rate. The aim of the paper was to determine preoperative predictors of exacerbation of CRF and the outcome in patients with CRF submitted to cardiac surgery. Methods A retrospective study included 169 patients hospitalized from 2012 to 2015 (age 67.71 ± 8.46 years, 72.3% male). The analysis included numerous perioperative characteristics. Results Preoperative stage I CRF was present in 62 (37%), stage II in 77 (46%), and stage III-V in 30 (17%) patients. Exacerbation of CRF was registered in 37 (21.9%), and the lethal outcome in 16 (9.5%) patients. Stage II of CRF (odds ratio [OR] 4.76; 95% confidence interval [CI] 1.31-17.28; p = 0.018) and stage III-V of CRF (OR 11.39; 95% CI 2.87-45.14; p = 0.001) were designated as predictors for exacerbation of CRF following cardiac surgery. In patients with CRF stage I and II, multivariate analysis designated previous cerebrovascular insult (OR 3.36; 95% CI 1.04-10.93; p = 0.044) and ejection fraction ≤ 35% (OR 5.35; 95% CI 1.83-15.64; p = 0.02) as predictors for the exacerbation of CRF. The only predictor of postoperative dialysis requirement was higher stage of CRF (OR 5.81; 95% CI 1.22-27.81; p = 0.028). CRF stage III-V was a predictor of lethal outcome (OR 7.64; 95% CI 1.49-39.27; p = 0.015). Conclusion Higher stage of CRF in patients submitted to cardiac surgery is a predictor of exacerbation of renal failure and the lethal outcome.

show abstract

Valve Replacement Surgery in Patients With End‐stage Renal Disease: Long‐term Results

Abstract: Life quality is better and life expectancy is longer after valve replacement in ESRD patients who have valvular disease. Also, longer life expectancy increases the probability for finding donors for kidney transplantation.

Cited by 12 publications

References 20 publications

Cardiac Surgery in Dialysis-Dependent Patients: Impact of Gender on Early Outcome in Single-Center Experience with 204 Consecutive Cases

Cardiac Surgery in Dialysis-Dependent Patients: Impact of Gender on Early Outcome in Single-Center Experience with 204 Consecutive Cases

Heart valve prosthesis selection in patients with end-stage renal disease requiring dialysis: a systematic review and meta-analysis

Cardiac surgery in patients with chronic renal failure

Contact Info

Product

Resources

About