A prospective randomized study to evaluate the renal impact of surgical revascularization strategy in diabetic patients.

Abstract:

:Acute kidney injury (AKI) is a major postoperative complication following cardiac surgery. Diabetes mellitus is a major cause of nephropathy and end-stage renal failure. We aimed to evaluate the occurrence of adverse renal outcomes, in diabetic patients, between on-pump (CPB) and off-pump (OPCAB) coronary artery bypass graft (CABG). Seventy-one diabetic patients (36 and 35 patients in the CPB and OPCAB groups, respectively) were enrolled in a prospective randomized study. Renal tubular and glomerular functions, were monitored preoperatively and over five consecutive days. There was no significant difference between the groups in terms of age, gender, New York Heart Association class, Canadian Cardiovascular Society functional classification of angina grade and number of CABG. Intensive care unit stay, duration of intubation, hospital stay and bleeding were significantly higher in the CPB group. No significant differences in plasmatic creatinine, urinary creatinine, creatinine clearance, proteinuria or osmolality were detected. A significant rise in urinary albumine excretion occurred in both groups peaking on the operative day; for the on-pump CABG group (10±5 vs. 48±57; P=0.015) and for the OPCAB group (11±6 vs. 37±59; P=0.04). Values were less important in the OPCAB group and return to the baseline was faster than in the CPB group. OPCAB attenuates sub-clinical AKI, in diabetic patients.

authors

Modine T,Zannis C,Salleron J,Provot F,Gourlay T,Duhamel A,Koussa M,Fayad G

doi

10.1510/icvts.2009.230839

subject

Has Abstract

pub_date

2010-10-01 00:00:00

pages

406-10

issue

4

eissn

1569-9293

issn

1569-9285

pii

icvts.2009.230839

journal_volume

11

pub_type

杂志文章,随机对照试验
  • Endovascular stent grafting of a complicated type B aortic dissection with approach through the innominate artery using a side-branch graft.

    abstract::Endovascular stent grafting has emerged as an effective method for the treatment of complicated acute type B aortic dissections. In cases where access to the aorta cannot be established through the ileofemoral trunks, the axillary arteries are used as an alternative route. Often, however, these arteries are too small ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2011.268748

    authors: Calcaterra D,Hashimi S,Brown TC,Sharma K

    更新日期:2011-08-01 00:00:00

  • Optimal myocardial protection strategy for coronary artery bypass grafting without cardioplegia: prospective randomised trial.

    abstract::Although hypothermia and ischaemic preconditioning (IP) are independently recognised mechanisms of cardioprotection, interactions between myocardial temperature and preconditioning have not been investigated. Therefore, this study explored the possibility of inducing IP during hypothermia and quantifying its effects a...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2005.116863

    authors: Codispoti M,Sundaramoorthi T,Saad RA,Reid A,Sinclair C,Mankad P

    更新日期:2006-06-01 00:00:00

  • Late erosion of Amplatzer septal occluder device resulting in cardiac tamponade.

    abstract::Transcatheter device closure of atrial septal defects (ASDs) is a minimally invasive technique that offers an alternative to conventional surgical repair. There are risks imposed by this technique; however, they compare favourably with risks of surgical closure. Here, we present a case of a 59-year old male with late ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivu271

    authors: Tchantchaleishvili V,Melvin AL,Ling FS,Knight PA

    更新日期:2014-12-01 00:00:00

  • Results of a multimodal approach for the management of aortic coarctation and its complications in adults.

    abstract:OBJECTIVES:We aimed to assess the results of various tailored management strategies for adults with coarctation in our centre. METHODS:We reviewed all adults patients treated for aortic caorctation between January 2000 and December 2015 in our institution. The primary end point was a composite of death, perioperative ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivx039

    authors: Noly PE,Legris-Falardeau V,Ibrahim R,El-Hamamsy I,Cartier R,Lamarche Y,Bouchard D,Dorval JF,Poirier N,Demers P

    更新日期:2017-09-01 00:00:00

  • Spontaneous intra-abdominal haemorrhage due to segmental arterial mediolysis following oesophagocolojejunostomy.

    abstract::Segmental arterial mediolysis is a rare vascular disease that leads to spontaneous intra-abdominal haemorrhage, which causes shock and bowel ischaemia, and is associated with a high mortality rate. Here, we present a case of spontaneous intra-abdominal haemorrhage due to segmental arterial mediolysis in a patient who ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivx177

    authors: Lee J,Ahn HY,I H,Kim CW

    更新日期:2017-12-01 00:00:00

  • Surgical simulation--a new tool to evaluate surgical incisions in congenital heart disease?

    abstract::We introduce a new concept for preoperative planning and surgical education in congenital heart disease: surgical simulation. Recent advances in three-dimensional image acquisition have provided a new means to virtually reconstruct accurate morphological models while computer visualisation hardware now allows simulati...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2006.132316

    authors: Sørensen TS,Greil GF,Hansen OK,Mosegaard J

    更新日期:2006-10-01 00:00:00

  • Tracheal reconstruction with a composite graft: fascial flap-wrapped allogenic aorta with external cartilage-ring support.

    abstract:OBJECTIVES:Animal and clinical studies have demonstrated the feasibility of tracheal replacement by silicone-stented allogenic aortas. In clinical trials, however, this graft did not show mature cartilage regeneration into the grafts as was observed in animal models. To solve this issue, we investigated tracheal replac...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivs422

    authors: Wurtz A,Hysi I,Kipnis E,Zawadzki C,Hubert T,Jashari R,Copin MC,Jude B

    更新日期:2013-01-01 00:00:00

  • Cardiac tumors in adults: surgical management and follow-up of 19 patients in an Australian tertiary hospital.

    abstract::The objective of this report is to share our experience with the different types of cardiac tumors, surgical management, postoperative complications and mid-term outcome of patients in an Australian tertiary hospital. Nineteen patients underwent cardiac surgery for tumors between 2001 and 2008. Their data was prospect...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.230029

    authors: Matebele MP,Peters P,Mundy J,Shah P

    更新日期:2010-06-01 00:00:00

  • Aortic valve/root procedures in patients with an anomalous left circumflex coronary artery and a bicuspid aortic valve: anatomical and technical implications.

    abstract::An anomalous origin of the left circumflex coronary artery that arises as a side branch of the right coronary artery from the right coronary sinus of Valsalva encircling the aortic annulus is usually an incidental finding. However, in patients undergoing aortic valve procedures, its existence can significantly complic...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivv063

    authors: Liebrich M,Tzanavaros I,Scheid M,Voth W,Doll KN,Hemmer WB

    更新日期:2015-07-01 00:00:00

  • First experience with the ultra compact mobile extracorporeal membrane oxygenation system Cardiohelp in interhospital transport.

    abstract::In patients with severe cardiopulmonary failure extracorporeal assist devices are to support patients during resuscitation, for transportation, until organ recovery, and as bridge to further therapeutic modalities. We report on our first experience with the new Cardiohelp system for interhospital transfer of cardiopul...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.264630

    authors: Philipp A,Arlt M,Amann M,Lunz D,Müller T,Hilker M,Graf B,Schmid C

    更新日期:2011-06-01 00:00:00

  • Risk factors and mortality associated with deep sternal wound infections following coronary bypass surgery with or without concomitant procedures in a UK population: a basis for a new risk model?

    abstract::Deep sternal wound infection (DSWI) is a rare but serious complication following coronary artery bypass surgery. Our study investigates the risk factors and mortality associated with DSWI with other risk models for DSWI. Data was collected prospectively on 7602 patients undergoing coronary artery bypass grafting±conco...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.237883

    authors: Ariyaratnam P,Bland M,Loubani M

    更新日期:2010-11-01 00:00:00

  • Preoperative neurological deficit in acute type A aortic dissection.

    abstract:OBJECTIVES:Our goal was to evaluate postoperative outcomes in patients with type A aortic dissection with preoperative neurological deficits independent of shock. METHODS:Between 2002 and 2017, 150 of 1600 patients, operated on for aortic dissection type A in 3 centres, presented with preoperative new onset neurologic...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1093/icvts/ivz311

    authors: Kreibich M,Desai ND,Bavaria JE,Szeto WY,Vallabhajosyula P,Itagaki R,Okamura H,Kimura N,Yamaguchi A,Beyersdorf F,Czerny M,Rylski B

    更新日期:2020-04-01 00:00:00

  • Video-assisted thoracoscopic surgical excision of paravertebral neurogenic tumour manifesting with unilateral facial and upper limb anhydrosis.

    abstract::A 21-year-old man presented with a recent onset history of tingling and numbness of his left upper limb. He also had a 3 year history of anhydrosis affecting the left half of his face and left upper limb. Clinical and Doppler assessment did not reveal any vascular cause for his symptoms. However, a chest roentgenogram...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/j.icvts.2003.11.003

    authors: Karthik S,Smith J,Thorpe JA

    更新日期:2004-06-01 00:00:00

  • Barotrauma as aetiological cascade of fatal intrapulmonary plastic bronchitis in a post-Fontan child.

    abstract::The role of barotrauma in the exaggeration of plastic bronchitis after Fontan circulation has yet to be examined. We aim to describe a case of a 4-year old post-Fontan circulation girl where barotrauma suffered during commercial air travel played a role in the aetiological cascade of plastic bronchitis. ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivs308

    authors: Elahi M,Poh CL,Ravindranathan H,Grant P

    更新日期:2012-10-01 00:00:00

  • The number of wires for sternal closure has a significant influence on sternal complications in high-risk patients.

    abstract:OBJECTIVES:Sternal dehiscence and mediastinitis are rare but serious complications following cardiac surgery. The aim of this study was to investigate the influence of the number of sternal wires used for chest closure on sternal complications. METHODS:From May 2003 to April 2007, 4714 adult patients received cardiac ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivs293

    authors: Kamiya H,Al-maisary SS,Akhyari P,Ruhparwar A,Kallenbach K,Lichtenberg A,Karck M

    更新日期:2012-10-01 00:00:00

  • Superior vena caval aneurysm.

    abstract::Venous aneurysms arising from the mediastinal systemic veins are rare. There are only 27 reported cases of such aneurysms. Majority arise from the superior vena cava. We are reporting a saccular aneurysm of superior vena cava in a 58-year-old male. The chest radiogram suggested superior mediastinal mass and the comput...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/S1569-9293(03)00076-8

    authors: Varma PK,Dharan BS,Ramachandran P,Neelakandhan KS

    更新日期:2003-09-01 00:00:00

  • The antioxidant effect of melatonin in lung injury after aortic occlusion-reperfusion.

    abstract::Acute aortic occlusion with subsequent ischemia-reperfusion of the lower extremities is well known to predispose to lung injury. Melatonin (MEL), a pineal hormone, is a free radical scavenger and an antioxidant. The purpose of this study was to assess the putative protective role of MEL in lung ischemia-reperfusion in...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/j.icvts.2004.05.005

    authors: Okutan H,Savas C,Delibas N

    更新日期:2004-09-01 00:00:00

  • Outcome after reoperation for atrioventricular septal defect repair.

    abstract::Results of surgical repair of atrioventricular septal defect (AVSD), both partial (PAVSD) and complete (CAVSD), have improved. However, reoperation is not uncommon. This report describes our experience in 59 patients who underwent reoperation after AVSD repair, between 1977 and 2008. Thirty-one patients had a PAVSD, 2...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2008.195180

    authors: Birim O,van Gameren M,de Jong PL,Witsenburg M,van Osch-Gevers L,Bogers AJ

    更新日期:2009-07-01 00:00:00

  • In endovascular aneurysm repair cases, when should you consider internal iliac artery embolization when extending a stent into the external iliac artery?

    abstract::A best evidence topic was constructed according to a structured protocol. The question addressed was whether internal iliac artery (IIA) embolization is necessary for achieving the best clinical outcome in all patients when extension of the stent graft to the external iliac artery is required. Altogether more than 400...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivu042

    authors: Kouvelos GN,Koutsoumpelis A,Peroulis M,Matsagkas M

    更新日期:2014-06-01 00:00:00

  • A personalized approach to interventional treatment of tricuspid regurgitation: experiences from an acute animal study.

    abstract:OBJECTIVES:Interventional treatment of tricuspid valve disease has so far received little attention due to the anatomical challenges in a thrombogenic surrounding. In the present study, we present an imaging-based, personalized interventional approach to the therapy of tricuspid regurgitation. METHODS:In our porcine m...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivu143

    authors: Amerini A,Hatam N,Malasa M,Pott D,Tewarie L,Isfort P,Goetzenich A,Hildinger M,Autschbach R,Spillner J

    更新日期:2014-09-01 00:00:00

  • Prognostic score for survival with pulmonary carcinoids: the importance of associating clinical with pathological characteristics.

    abstract:OBJECTIVES:Lung carcinoids (LCs) are staged using the non-small-cell lung cancer tumour/node/metastasis staging system; the possibility of an LC-specific staging system is still being debated. The goal of our study was to construct a composite prognostic score for LC. METHODS:From January 2002 to December 2014, data f...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivaa114

    authors: Chiappetta M,Sperduti I,Ciavarella LP,Leuzzi G,Bria E,Mucilli F,Lococo F,Filosso P,Ratto G,Spaggiari L,Facciolo F,Margaritora S

    更新日期:2020-09-01 00:00:00

  • Functional and postoperative outcomes after preoperative exercise training in patients with lung cancer: a systematic review and meta-analysis.

    abstract::Lung cancer is the leading cause of cancer-related death worldwide. For early stages of the disease, lung resection surgery remains the best treatment with curative intent, but significant morbidity is associated, especially among patients with poor pulmonary function and cardiorespiratory fitness. In those cases, the...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1093/icvts/ivw152

    authors: Sebio Garcia R,Yáñez Brage MI,Giménez Moolhuyzen E,Granger CL,Denehy L

    更新日期:2016-09-01 00:00:00

  • Manubrium-limited sternotomy decreases blood loss after aortic valve replacement surgery.

    abstract:OBJECTIVES:Minimally invasive surgical approaches for aortic valve replacement (AVR) are growing in popularity in an attempt to decrease morbidity from conventional surgery. We have adopted a technique that divides only the manubrium and spares the body of the sternum. We sought to determine whether patients benefit fr...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivu196

    authors: Burdett CL,Lage IB,Goodwin AT,White RW,Khan KJ,Owens WA,Kendall SW,Ferguson JI,Dunning J,Akowuah EF

    更新日期:2014-10-01 00:00:00

  • Are there any good treatments for keloid scarring after sternotomy?

    abstract::A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was: in patients with hypertrophic and keloid scarring of the sternotomy wound, is surgical excision with or without adjuvant treatment of any benefit in reducing the size of the scar? Altogether, more than ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1510/icvts.2010.264887

    authors: Pai VB,Cummings I

    更新日期:2011-10-01 00:00:00

  • Endovascular treatment of a spontaneous aneurysm in the axillary artery.

    abstract::Spontaneous aneurysm in the axillary artery is extremely rare. The standard treatment for axillary artery aneurysm has been surgical repair, but endovascular management of select aneurysms using stent grafts has become more prevalent with the development of endoluminal technology. We report the case of a 36-year old m...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivu308

    authors: Park SK,Hwang JK,Park SC,Kim SD

    更新日期:2015-01-01 00:00:00

  • Intrathoracic migration of Steinman wire.

    abstract::We report two cases of intrathoracic migration of Steinman wire used for the treatment of the fracture and shoulder dislocation. The migrations were symptomatic with back pain in our cases. The treatment involved removing of the pin via thoracotomy. The postoperative course was uneventful. Intrathoracic migration of S...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/S1569-9293(03)00047-1

    authors: Sarper A,Urgüden M,Dertsiz L,Demircan A

    更新日期:2003-06-01 00:00:00

  • Evaluating interest in narrative therapy for decision making about pectus excavatum treatment.

    abstract:OBJECTIVES:The decision to proceed with surgical treatment for pectus excavatum (PE) is rarely clear-cut. Patients interested in treatment are referred for evaluation by numerous different specialists, but psychosocial counselling is currently not included in this process. Our objective was to assess whether PE patient...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivx308

    authors: Ticchi D,Eisinger RS,Pilegaard HK,Torre M,Sesia SB,Infante M,Voulaz E,Quesada MA,Sisask M

    更新日期:2018-02-01 00:00:00

  • Phrenic nerve reconstruction in complete video-assisted thoracic surgery.

    abstract:OBJECTIVES:Primary or metastatic lung cancer or mediastinal tumours may at times involve the phrenic nerve and pericardium. To remove the pathology en bloc, the phrenic nerve must be resected. This results in phrenic nerve paralysis, which in turn reduces pulmonary function and quality of life. As a curative measure of...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivu290

    authors: Kawashima S,Kohno T,Fujimori S,Yokomakura N,Ikeda T,Harano T,Suzuki S,Iida T,Sakai E

    更新日期:2015-01-01 00:00:00

  • Repair of left ventricular pseudoaneurysm with the triple patch technique (Empanada Patch).

    abstract::Left ventricular pseudoaneurysm is a rare but serious complication of myocardial infarction that requires urgent intervention to avoid unpredictable fatal rupture. Surgical repair aims at excluding the aneurysmal area with a patch to preserve the left ventricular geometry. Here, we present a case of successful repair ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivv288

    authors: Elgharably H,Halbreiner MS,Shoenhagen P,Navia JL

    更新日期:2016-01-01 00:00:00

  • Thoracoscopic approach to bilateral pulmonary metastasis: is it justified?

    abstract:OBJECTIVES:There are few reports on optimal surgical approaches to bilateral pulmonary metastasis and the sequences used in the operation. The aim of this study was to evaluate the feasibility of the thoracoscopic bilateral approach to pulmonary metastasis. METHODS:From June 2006 to February 2013, 61 patients underwen...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivt514

    authors: Han KN,Kang CH,Park IK,Kim YT

    更新日期:2014-05-01 00:00:00