title: [Planning of cardiothoracic surgery for chronic kidney disease patients].
abstract: Chronic renal failure (CRF) is related to cardiac diseases. Cardiac surgery is also related to postoperative acute kidney injury (AKI). It means heart and kidney have close relationship. We analyzed recent published data to understand how to manage CRF patients undergoing cardiovascular surgeries. We compared endovascular surgery and open procedure for aortic aneurysm, especially about contrast media-related renal damage, On or Off CABG or PCI for ischemic heart disease. We also discussed the relation between cardiopulmonary bypass and AKI and the risk factors causing AKI after CPB. Finally, we discussed prevention and treatment options of CPB related AKI, including furosemide, hANP mannitol, and statin. Published evidence in this area is still insufficient, but many studies are still carried out focusing on postoperative AKI. In the future we may be able to find the best answer for managing CRF patients undergoing cardiovascular surgeries.
authors.affiliation: Department of Anesthesiology, IMS Katushika Heart Center, Tokyo 124-0006.
authors.forename: Yasuhisa
authors.initials: Y
authors.lastname: Okamoto
authors.affiliation: Department of Anesthesiology, IMS Katushika Heart Center, Tokyo 124-0006.
authors.forename: Tosihiro
authors.initials: T
authors.lastname: Nohmi
authors.affiliation: Department of Anesthesiology, IMS Katushika Heart Center, Tokyo 124-0006.
authors.forename: Koichiro
authors.initials: K
authors.lastname: Seki
authors.affiliation: Department of Anesthesiology, IMS Katushika Heart Center, Tokyo 124-0006.
authors.forename: Yuki
authors.initials: Y
authors.lastname: Higa
mesh_terms: D058186:Acute Kidney Injury / Q000517:prevention & control*; D001014:Aortic Aneurysm / Q000150:complications / Q000601:surgery; D009320:Atrial Natriuretic Factor / Q000008:administration & dosage; D002315:Cardiopulmonary Bypass / Q000009:adverse effects; D002318:Cardiovascular Diseases / Q000150:complications / Q000601:surgery*; D013504:Cardiovascular Surgical Procedures; D003287:Contrast Media / Q000009:adverse effects; D001026:Coronary Artery Bypass; D005665:Furosemide / Q000008:administration & dosage; D006801:Humans; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors / Q000008:administration & dosage; D008353:Mannitol / Q000008:administration & dosage; D017202:Myocardial Ischemia / Q000601:surgery / Q000628:therapy; D062645:Percutaneous Coronary Intervention; D019990:Perioperative Care / Q000379:methods*; D011183:Postoperative Complications / Q000517:prevention & control*; D051436:Renal Insufficiency, Chronic / Q000150:complications*; D019616:Thoracic Surgical Procedures
chemical_list: D003287:Contrast Media; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors; D008353:Mannitol; D005665:Furosemide; D009320:Atrial Natriuretic Factor