[Analysis of continuous hemodiafiltration after open heart surgery].
The development of renal failure after open heart surgery is associated with a high mortality. Thirteen patients were treated with continuous hemodiafiltration (CHDF) for renal failure following open heart surgery since April 1999 to December 2001. The indication of CHDF was blood purification in 8 patients and water balance control in 5 patients. Two patients with hemodialysis (HD) before operation returned to usual HD early after operation, and discharged. One patient died of severe heart failure, and another patient died of sepsis and multi organ failure. In these 2 patients, CHDF could not withdrawn. Seven patients weaned from CHDF 1 to 19 days after operation. Five of 7 patients discharged, but 2 patients died of cerebral infarction 4 month after operation. The remaining 2 patients could not wean from CHDF, and were introduced HD. Only 1 of 13 patients had bleeding tendency (cardiac tamponade). CHDF did not influence the hemodynamic state and was very effective for the treatment of renal failure in many patients.
Sakagoshi
N
N
Department of Cardiovascular Surgery, Kawachi General Hospital, Higashi-osaka, Japan.
Yasuda
H
H
Yonemoto
T
T
D000368:Aged; D000369:Aged, 80 and over; D006348:Cardiac Surgical Procedures; D002305:Cardiac Tamponade / Q000209:etiology; D017583:Hemodiafiltration / Q000009:adverse effects; D006801:Humans; D008875:Middle Aged; D011182:Postoperative Care; D011183:Postoperative Complications / Q000628:therapy*; D051437:Renal Insufficiency / Q000628:therapy*; D012189:Retrospective Studies; D016896:Treatment Outcome