Scopus
🔓 Açık Erişim YÖKSİS Eşleşti
Does mild renal failure affect coronary flow reserve after coronary artery bypass graft surgery?
Heart Surgery Forum · Ocak 2014
YÖKSİS Kayıtları
Does Mild Renal Failure Affect Coronary Flow Reserve after Coronary Artery Bypass Graft Surgery?
The Heart Surgery Forum · 2014 SCI-Expanded
DOKTOR ÖĞRETİM ÜYESİ MUSLU KAZIM KÖREZ →
Makale Bilgileri
DergiHeart Surgery Forum
Yayın TarihiOcak 2014
Cilt / Sayfa17
Scopus ID2-s2.0-84897126802
Erişim🔓 Açık Erişim
Özet
Introduction: There are only a limited number of studies on the link between mild renal failure and coronary artery disease. The purpose of this study is to investigate the effects of mild renal failure on the distal vascular bed by measuring the coronary flow reserve (CFR) in transthoracic echocardiography after coronary artery bypass grafting (CABG). Methods: The study included 52 consecutive patients (12 women and 40 men) who had undergone uncomplicated CABG. The patients were divided into 2 groups. Group 1 included patients with a preoperative glomerular filtra tion rate (GFR) of 60-90 (mild renal failure), and group 2 included those with a GFR >90. The CFR measurements were carried out through a second harmonic transthoracic Doppler echocardiography. Results: The mean age was 60.08 ± 1.56 years in group 1 and 60.33 ± 1.19 in group 2. The mean preoperative CFR was 1.79 ± 0.06 in group 1 and 2.05 ± 0.09 in group 2. The mean postoperative CFR was 2.09 ± 0.08 in group 1 and 2.37 ± 0.06 in group 2. There was a statistically significant difference between the 2 groups as to preoperative creatinine clearance, preoperative estimated GFR, postoperative day 7 creatinine clearance, postoperative month 6 creatinine clearance, postoperative day 7 estimated GFR, postoperative month 6 estimated GFR, preoperative CFR, and postoperative CFR (P < .05). CFR was found to be unaffected by the choice of on-pump or off-pump technique (P = .907). After bypass surgery, there was a significant increase in the mean postoperative CFR, when compared with the mean preoperative CFR (P = .001). Conclusion: In our study, we detected a decrease in CFR in patients with mild renal failure. We believe that in patients undergoing CABG for coronary artery disease, mild renal failure can produce adverse effects due to deterioration of the microvascular bed. © 2014 Forum Multimedia Publishing, LLC.
Yazarlar (7)
1
Murat Gönday
2
Özgür Çiftçi
3
Mustafa Ca̧lişkan
4
Mehmet Oz̈ülk̈u
5
Hakan Bingol̈
6
M. K. Korez
ORCID: 0000-0001-9524-6115
7
Sait Asļamaci
Kurumlar
Başkent Üniversitesi
Ankara Turkey
Selçuk Üniversitesi
Selçuklu Turkey
Metrikler
5
Atıf
7
Yazar