Clinical Nephrology » Evaluation of renal function after mini-invasive myocardial revascularization in high-risk patients with coronary artery disease

Evaluation of renal function after mini-invasive myocardial revascularization in high-risk patients with coronary artery disease

DOI: https://dx.doi.org/10.18565/nephrology.2018.3.21-24

A.K. Zhalilov, A.S. Vishchipanov, V.Yu. Merzlyakov, I.V. Klyuchnikov, A.I. Skopin, A.A. Melikulov
1 FSBI "A.N. Bakulev National Medical Research Center of Cardiovascular Surgery" of the Ministry of Health of the Russian Federation; Moscow, Russia; 2 FSBEI HE "N.I. Pirogov Russian National Research Medical University" of the Ministry of Health of the Russian Federation, Moscow, Russia

Purpose. To evaluate the renal function in high-risk patients with coronary artery disease (CAD) on the basis of an analysis of the immediate results of mini-invasive myocardial revascularization (MIMR). The active use of MIMR in patients with CAD from the group of high surgical risk raise the urgent issue of assessing renal function after surgery.
Material and methods. The results of surgical treatment of 1339 high-risk patients with CAD in the period from 2003 to 2015 were studied. Patients were divided into two groups. The dynamics of such indicators as creatinine, cystatin C, and urea levels was followed-up, and glomerular filtration rate was also calculated.
Results. Statistically significantly better results were obtained in the MIMR group compared with coronary bypass surgery.
Conclusion. MIMR has a much smaller impact on kidney function than surgery with artificial circulation, and can be recommended to high-risk patients.

Keywords: coronary artery disease, surgical treatment, kidney function, high risk

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About the Autors

Zhalilov A.K. – PhD in Medical Sciences, External Doctorate Student, FSBI A.N. Bakulev NMRC CVS of the Ministry of Health of the Russian Federation; Moscow, Russia.
E-mail: jalilov_adham@mail.ru
orcid.org/0000-0002-0364-6371
Vishchipanov A.S. – Doctor of Medical Sciences, Associate Professor at the Department of Topographic Anatomy and Operative Surgery SBEI HE N.I. Pirogov RNRMU of the Ministry of Health of the Russian Federation; Moscow, Russia.
orcid.org/0000-0001-5182-0963
Merzlyakov V.Yu. – Doctor of Medical Sciences, Head of the Department, FSBI A.N. Bakulev NMRC CVS of the Ministry of Health of the Russian Federation; Moscow, Russia.
orcid.org/0000-0001-5638-3723
Klyuchnikov I.V. – Doctor of Medical Sciences, Professor, Chief Researcher, FSBI A.N. Bakulev NMRC CVS of the Ministry of Health of the Russian Federation; Moscow, Russia.
orcid.org/0000-0002-8652-9639
Skopin A.I. – PhD in Medical Sciences, Leading Researcher at the FSBI A.N. Bakulev NMRC CVS of the Ministry of Health of the Russian Federation; Moscow, Russia.
orcid.org/0000-0002-4463-0755
Melikulov A.A. – PhD in Medical Sciences, Cardiovascular Surgeon at the FSBI A.N. Bakulev NMRC CVS of the Ministry of Health of the Russian Federation; Moscow, Russia.
orcid.org/0000-0002-5164-9702

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