Does Off-Pump Coronary Artery Bypass Grafting Really Preserve Renal Function?
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概要
- 論文の詳細を見る
It is well known that the use of cardiopulmonary bypass (CPB) influences renal function and occasionally results in renal failure following cardiac surgery. Coronary artery bypass grafting (CABG) without CPB may avoid this and preserve the perioperative renal function. The present study enrolled 52 patients undergoing CABG without CPB (OPCAB group) and matched them for renal function and prognostic variables with 53 patients undergoing conventional CABG (CABG group). Perioperative renal function and early clinical results were assessed. The OPCAB group had significantly less increase in creatinine levels (0.16±0.05 vs 0.45±0.06mg/dl; p=0.01) and greater creatinine clearance (81.6±7.3 vs 56.3±4.8 ml/min; p=0.01) postoperatively. Postoperative recovery of free water clearance was more prompt in the OPCAB group. The duration of intubation and intensive care unit stay was significantly shorter, and the creatine kinase-MB release and blood transfusion requirements were significantly less in the OPCAB group. The OPCAB technique preserved glomerular filtration rate and prevented the increase in creatinine levels. The results suggest that the technique enables earlier patient recovery and gives superior renal protection compared with conventional CABG. (Circ J 2002; 66: 921 -925)
- 社団法人日本循環器学会の論文
- 2002-09-20
著者
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AOYAGI Shigeaki
Department of Cardiovascular Surgery, Kurume University School of Medicine
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TESHIMA HIDEKI
Department of Cardiovascular Surgery, Omura Municipal Hospital, Cardiovascular Center
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Takagi Kazuyoshi
Department Of Surgery Kurume University School Of Medicine
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Aoyagi Shigeaki
Department Of Surgery Kurume University School Of Medicine
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SHOJIMA Takahiro
Department of Surgery, Kurume University School of Medicine
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HAYASHIDA Nobuhiko
Department of Surgery, Kurume University School of Medicine
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Chihara Shingo
Department of Surgery, Kurume University
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Tomoeda Hiroshi
Department of Surgery, Kurume University
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Takaseya Tohru
Department of Surgery, Kurume University
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Hiratsuka Ryouichi
Department of Surgery, Kurume University
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Shoujima Takahiro
Department of Surgery, Kurume University
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Kawara Takemi
Department of Surgery, Kurume University
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Shojima Takahiro
Department Of Surgery Kurume University School Of Medicine
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Kawara Takemi
Department Of Surgery Kurume University School Of Medicine
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Takaseya Tohru
Department Of Surgery Kurume University School Of Medicine
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Takaseya Toru
The Department Of Surgery Kurume University School Of Medicine
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Teshima Hideki
The Department Of Surgery Kurume University School Of Medicine
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Teshima Hideki
Department Of Cardiovascular Surgery Omura Municipal Hospital Cardiovascular Center
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Chihara Shingo
Department Of Surgery Kurume University School Of Medicine
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Hayashida Nobuhiko
Department Of Surgery Kurume University School Of Medicine
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HIRATSUKA Ryoichi
Department of Surgery, Kurume University School of Medicine
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Hayashida Nobuhiko
Second Department Of Surgery Kurume University Hospital
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Hiratsuka Ryoichi
Department Of Surgery Kurume University School Of Medicine
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Aoyagi Shigeaki
Dept. Of Iind Surgery Kurume Unrverslty School Of Medicine
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Aoyagi Shigeaki
Division Of Cardiovascular Surgery Department Of Surgery Kurume University School Of Medicine
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Takagi Kazuyoshi
Department Of Applied Chemistry Faculty Of Life Sciences Ritsumeikan University
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Tomoeda Hiroshi
Departments Of Surgery Kurume University School Of Medicine
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Tomoeda Hiroshi
Department Of Cardiovascular Surgery Clinical Research Institute National Kyushu Medical Center
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Kawara Takemi
Department Of Cardiovascular Surgery St. Mary's Hospital
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Teshima Hideki
Department Of Cardiovascular Surgery Clinical Research Institute National Hospital Organization Kyushu Medical Center
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Takaseya Tohru
Department Of Cardiovascular Surgery St. Mary's Hospital
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TAKASEYA Tohru
Department of Biomedical Engineering/ND20, Lerner Research Institute, Cleveland Clinic
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