PMID- 8468839 OWN - NLM STAT- MEDLINE DCOM- 19930507 LR - 20061115 IS - 0021-5252 (Print) IS - 0021-5252 (Linking) VI - 46 IP - 3 DP - 1993 Mar TI - [Blood purification after aorto-coronary bypass grafting for dialysis patients]. PG - 241-6 AB - Four dialysis patients received aorto-coronary bypass grafting (CABG) at Fukuyama cardiovascular hospital from April 1989 to March 1992. We employed continuous ambulatory peritoneal dialysis (CAPD) in two cases, hemodialysis with extracorporeal ultrafiltration method (ECUM + HD) in one case and hemodiafiltration with continuous veno-venous hemofiltration (CVVHF + HDF) in one case for perioperative management. In each cases, intermittent HD was undergone during 4 days before operation. Intraoperatively, HD was used together with extracorporeal circulation. Blood pressure in the postoperative course changed more frequently in CAPD cases than ECUM + HD or CVVHF + HDF case. Especially, CVVHF + HDF stabilized the movement of circulation and kept balance of serum BUN, Cr after the operation (BUN; 27.2 +/- 6.3, Cr; 5.0 +/- 0.6). We concluded that CVVHF + HDF would be the most favorable method to maintain the fluid balance stably for the uremic patients after CABG. FAU - Nakano, H AU - Nakano H AD - Department of Cardiovascular Surgery, Fukuyama Cardiovascular Hospital, Japan. FAU - Shimakura, T AU - Shimakura T FAU - Katsumata, T AU - Katsumata T FAU - Shimamura, Y AU - Shimamura Y FAU - Yabuki, A AU - Yabuki A FAU - Matsuda, N AU - Matsuda N FAU - Yamaguchi, T AU - Yamaguchi T FAU - Kawakami, A AU - Kawakami A FAU - Ihashi, K AU - Ihashi K FAU - Sakamoto, T AU - Sakamoto T LA - jpn PT - English Abstract PT - Journal Article PL - Japan TA - Kyobu Geka JT - Kyobu geka. The Japanese journal of thoracic surgery JID - 0413533 SB - IM MH - Adult MH - Aged MH - Angina, Unstable/complications/*surgery MH - *Coronary Artery Bypass MH - Female MH - Hemofiltration/*methods MH - Humans MH - Kidney Failure, Chronic/complications/*therapy MH - Male MH - Middle Aged MH - *Peritoneal Dialysis, Continuous Ambulatory MH - Postoperative Care MH - Renal Dialysis/*methods EDAT- 1993/03/01 00:00 MHDA- 1993/03/01 00:01 CRDT- 1993/03/01 00:00 PHST- 1993/03/01 00:00 [pubmed] PHST- 1993/03/01 00:01 [medline] PHST- 1993/03/01 00:00 [entrez] PST - ppublish SO - Kyobu Geka. 1993 Mar;46(3):241-6.