This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Ranucci, M. Articles by Conti, D. Search for Related Content PubMed PubMed Citation Articles by Ranucci, M. Articles by Conti, D. Social Bookmarking                   What's this?

Risk factors for renal dysfunction after coronary surgery: the role of cardiopulmonary bypass technique

Department of Cardiovascular Anaesthesiology, Department of Cardiac Surgery, and Department of Intensive Care Medicine, Cardiovascular Center E Malan, S Donato Hospital, University of Milan, Milan

Marco Pavesi

Department of Cardiovascular Anaesthesiology, Department of Cardiac Surgery, and Department of Intensive Care Medicine, Cardiovascular Center E Malan, S Donato Hospital, University of Milan, Milan

Ermanno Mazza

Department of Cardiovascular Anaesthesiology, Department of Cardiac Surgery, and Department of Intensive Care Medicine, Cardiovascular Center E Malan, S Donato Hospital, University of Milan, Milan

Carla Bertucci

Department of Cardiovascular Anaesthesiology, Department of Cardiac Surgery, and Department of Intensive Care Medicine, Cardiovascular Center E Malan, S Donato Hospital, University of Milan, Milan

Alessandro Frigiola

Department of Cardiovascular Anaesthesiology, Department of Cardiac Surgery, and Department of Intensive Care Medicine, Cardiovascular Center E Malan, S Donato Hospital, University of Milan, Milan

Lorenzo Menicanti

Department of Cardiovascular Anaesthesiology, Department of Cardiac Surgery, and Department of Intensive Care Medicine, Cardiovascular Center E Malan, S Donato Hospital, University of Milan, Milan

A. Ditta

Department of Cardiovascular Anaesthesiology, Department of Cardiac Surgery, and Department of Intensive Care Medicine, Cardiovascular Center E Malan, S Donato Hospital, University of Milan, Milan

A. Boncilli

Department of Cardiovascular Anaesthesiology, Department of Cardiac Surgery, and Department of Intensive Care Medicine, Cardiovascular Center E Malan, S Donato Hospital, University of Milan, Milan

Daniela Conti

Department of Cardiovascular Anaesthesiology, Department of Cardiac Surgery, and Department of Intensive Care Medicine, Cardiovascular Center E Malan, S Donato Hospital, University of Milan, Milan

We studied 316 patients undergoing cardiopulmonary bypass for coronary artery surgery in order to determine perioperative risk factors for postoperative renal dysfunction

A preliminary univariate analysis was performed by ² analysis for categorical data and Mann-Whitney U-test for continuous variables to detect significant correlations between each risk factor and the occurrence of moderate or severe renal dysfunction. Subsequently, a multiple logistic regression was applied to the three risk factors identified as predictive for severe renal dysfunction. Low cardiac output syndrome and need for banked blood transfusions combined with a low haematocrit value during cardiopulmonary bypass increase the probability of severe renal dysfunction in the postoperative course.

Perfusion, Vol. 9, No. 5, 319-326 (1994)
DOI: 10.1177/026765919400900503


CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				C. G. Koch, L. Li, D. I. Sessler, P. Figueroa, G. A. Hoeltge, T. Mihaljevic, and E. H. Blackstone Duration of Red-Cell Storage and Complications after Cardiac Surgery N. Engl. J. Med., March 20, 2008; 358(12): 1229 - 1239. [Abstract] [Full Text] [PDF]

				M. Ranucci Perioperative Renal Failure: Hypoperfusion During Cardiopulmonary Bypass? Seminars in Cardiothoracic and Vascular Anesthesia, December 1, 2007; 11(4): 265 - 268. [Abstract] [PDF]

				M. Ranucci, C. Bellucci, D. Conti, A. Cazzaniga, and B. Maugeri Determinants of Early Discharge From the Intensive Care Unit After Cardiac Operations Ann. Thorac. Surg., March 1, 2007; 83(3): 1089 - 1095. [Abstract] [Full Text] [PDF]

				A. Castiglioni, A. Verzini, F. Pappalardo, N. Colangelo, L. Torracca, A. Zangrillo, and O. Alfieri Minimally Invasive Closed Circuit Versus Standard Extracorporeal Circulation for Aortic Valve Replacement Ann. Thorac. Surg., February 1, 2007; 83(2): 586 - 591. [Abstract] [Full Text] [PDF]

				C. G. Koch, F. Khandwala, L. Li, F. G. Estafanous, F. D. Loop, and E. H. Blackstone Persistent effect of red cell transfusion on health-related quality of life after cardiac surgery. Ann. Thorac. Surg., July 1, 2006; 82(1): 13 - 20. [Abstract] [Full Text] [PDF]

				R. H. Habib, A. Zacharias, T. A. Schwann, C. J. Riordan, S. J. Durham, and A. S. Shah Postoperative Renal Dysfunction After On-Pump Versus Off-Pump Coronary Revascularization: Role of On-Pump Hemodilution and Transfusions Ann. Thorac. Surg., April 1, 2006; 81(4): 1548 - 1549. [Full Text] [PDF]

				I. Bahar, A. Akgul, M. A. Ozatik, K. M Vural, A. E Demirbag, M. Boran, and O. Tasdemir Acute renal failure following open heart surgery: risk factors and prognosis Perfusion, December 1, 2005; 20(6): 317 - 322. [Abstract] [PDF]

				M. Ranucci, F. Romitti, G. Isgro, M. Cotza, S. Brozzi, A. Boncilli, and A. Ditta Oxygen Delivery During Cardiopulmonary Bypass and Acute Renal Failure After Coronary Operations Ann. Thorac. Surg., December 1, 2005; 80(6): 2213 - 2220. [Abstract] [Full Text] [PDF]

				M. Kuduvalli, A. Y. Oo, N. Newall, A. D. Grayson, M. Jackson, M. J. Desmond, B. M. Fabri, and A. Rashid Effect of peri-operative red blood cell transfusion on 30-day and 1-year mortality following coronary artery bypass surgery Eur. J. Cardiothorac. Surg., April 1, 2005; 27(4): 592 - 598. [Abstract] [Full Text] [PDF]

				K. Karkouti, W.S. Beattie, D.N. Wijeysundera, V. Rao, C. Chan, K.M. Dattilo, G. Djaiani, J. Ivanov, J. Karski, and T.E. David Hemodilution during cardiopulmonary bypass is an independent risk factor for acute renal failure in adult cardiac surgery J. Thorac. Cardiovasc. Surg., February 1, 2005; 129(2): 391 - 400. [Abstract] [Full Text] [PDF]

				M. Swaminathan, B. G. Phillips-Bute, and M. Stafford-Smith Reply Ann. Thorac. Surg., November 1, 2004; 78(5): 1881 - 1882. [Full Text] [PDF]

				M. Ranucci, L. Menicanti, and A. Frigiola Acute Renal Injury and Lowest Hematocrit During Cardiopulmonary Bypass: Not Only a Matter of Cellular Hypoxemia Ann. Thorac. Surg., November 1, 2004; 78(5): 1880 - 1881. [Full Text] [PDF]

				M. Ranucci, G. Soro, N. Barzaghi, A. Locatelli, G. Giordano, A. Vavassori, A. Manzato, C. Melchiorri, T. Bove, G. Juliano, et al. Fenoldopam Prophylaxis of Postoperative Acute Renal Failure in High-Risk Cardiac Surgery Patients Ann. Thorac. Surg., October 1, 2004; 78(4): 1332 - 1337. [Abstract] [Full Text] [PDF]

				L. Chen, A. W. Bracey, R. Radovancevic, J. R. Cooper Jr, C. D. Collard, W. K. Vaughn, and N. A. Nussmeier Clopidogrel and bleeding in patients undergoing elective coronary artery bypass grafting J. Thorac. Cardiovasc. Surg., September 1, 2004; 128(3): 425 - 431. [Abstract] [Full Text] [PDF]

				M. Swaminathan, B. G. Phillips-Bute, P. J. Conlon, P. K. Smith, M. F. Newman, and M. Stafford-Smith The association of lowest hematocrit during cardiopulmonary bypass with acute renal injury after coronary artery bypass surgery Ann. Thorac. Surg., September 1, 2003; 76(3): 784 - 791. [Abstract] [Full Text] [PDF]

				M. C. Engoren, R. H. Habib, A. Zacharias, T. A. Schwann, C. J. Riordan, and S. J. Durham Effect of blood transfusion on long-term survival after cardiac operation Ann. Thorac. Surg., October 1, 2002; 74(4): 1180 - 1186. [Abstract] [Full Text] [PDF]

				H. L. Corwin, M. D. Hampers, and S. D. Surgenor Blood Transfusion Issues in the Critically Ill Seminars in Cardiothoracic and Vascular Anesthesia, September 1, 2002; 6(3): 271 - 278. [Abstract] [PDF]

				S Dittrich, A Schuth, H Aurich, J vonLoeper, C Grosse-Siestrup, and P E Lange Haemodilution improves organ function during normothermic cardiopulmonary bypass: investigations in isolated perfused pig kidneys Perfusion, May 1, 2000; 15(3): 225 - 229. [Abstract] [PDF]

				B. Liu, D. Roberts, and M. Ranucci Intraoperative Hematocrit and Viscosity Do Not Correlate With Postoperative White Blood Cell Count Ann. Thorac. Surg., June 1, 1995; 59(6): 1624 - 1626. [Full Text]