PMID- 23939178
OWN - NLM
STAT- MEDLINE
DCOM- 20150709
LR  - 20181202
IS  - 1671-167X (Print)
IS  - 1671-167X (Linking)
VI  - 45
IP  - 4
DP  - 2013 Aug 18
TI  - [Peri-operative management and follow-up outcomes of cardiac surgery in 
      dialysis-dependent patients with end stage renal disease].
PG  - 634-8
AB  - OBJECTIVE: To summarize the perioperative management experience of patients with 
      end-stage renal diseases (ESRD) undergoing cardiac surgery and the follow-up 
      outcomes. METHODS: From September 2004 to February 2012, 18 dialysis-dependent 
      patients with ESRD received cardiac surgery in Department of Cardiac Surgery, 
      Peking University First Hospital. A series of methods were employed to maintain 
      water-electrolyte and acid-base balance and coagulation function. We followed up 
      the patients by clinic service or telephone. RESULTS: The spectra of surgical 
      interventions included isolated coronary artery bypass graft (CABG, n=13), 
      isolated valve replacement (VR, n=2) and concomitant CABG and VR (n=3). Of the 18 
      patients, 3 died within the Peri-operative period and 15 recovered and were 
      discharged. The follow up period was 6-91 months [(27.6+/-27.5) months]. Within the 
      follow up period, 2 patients died (66th month and 76th month), non-fatal 
      complications occurred in 3 patients. Cardiac functions of the survived patients 
      were good according to the New York Heart Association (NYHA) classification, 4 of 
      them were within NYHA class I and 9 within NYHA class II. CONCLUSION: 
      Dialysis-dependent patients with end-stage renal diseases are a high risk group 
      receiving cardiac surgery, but a comprehensive Peri-operative management of 
      water-electrolyte and acid-base balance and coagulation function could yield a 
      better outcome.
FAU - Li, Xi-hui
AU  - Li XH
AD  - Department of Cardiac Surgery, Peking University First Hospital, Beijing 100034, 
      China.
FAU - Li, Yan
AU  - Li Y
FAU - Xiao, Feng
AU  - Xiao F
FAU - Li, Yi-fan
AU  - Li YF
FAU - Wang, Jin
AU  - Wang J
FAU - Song, Bo
AU  - Song B
FAU - Yang, Yang
AU  - Yang Y
FAU - Dong, Shi-yong
AU  - Dong SY
LA  - chi
PT  - Journal Article
PL  - China
TA  - Beijing Da Xue Xue Bao Yi Xue Ban
JT  - Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health 
      sciences
JID - 101125284
SB  - IM
MH  - Acid-Base Equilibrium
MH  - *Cardiac Surgical Procedures
MH  - Coronary Artery Bypass
MH  - Follow-Up Studies
MH  - Humans
MH  - Kidney Failure, Chronic/*therapy
MH  - *Renal Dialysis
MH  - Risk Factors
EDAT- 2013/08/14 06:00
MHDA- 2015/07/15 06:00
CRDT- 2013/08/14 06:00
PHST- 2013/08/14 06:00 [entrez]
PHST- 2013/08/14 06:00 [pubmed]
PHST- 2015/07/15 06:00 [medline]
PST - ppublish
SO  - Beijing Da Xue Xue Bao Yi Xue Ban. 2013 Aug 18;45(4):634-8.