超声评价CABG与OPCAB术后肾段动脉及叶间动脉RI改变特点

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (0 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective: To investigate the resistance index(RI) changes of the renal segmental artery and renal interlobar artery after coronary artery bypass grafting(CABG) and off-pump coronary artery bypass grafting(OPCAB) by ultrasound. Methods: Twenty cases of coronary artery bypass surgery, 10 cases underwent CABG, and 10 cases underwent OPCAB, the RI of the renal segmental artery and renal interlobar artery were detected at 1 h, 4 h, 16 h, 24 h after operation and before anesthesia, and urea nitrogen(Urea) and creatinine(Crea) were detected at the same time. Finally, all data were analyzed statistically. Results: In the CABG group, compared with that before operation, the renal segmental artery RI at 1 h, 4 h after operation were significantly increased(P＜0.05), the renal interlobar artery RI at 1 h, 4 h, 16 h and 24 h after operation were significantly increased(P＜0.05). In the OPCAB group, compared with that before operation, the renal segmental artery and the renal interlobar artery RI at each time point after operation were no significant difference. The renal segmental artery RI at 1 h, 4 h after operation in CABG group was higher than that in OPCAB group(P＜0.05), the renal interlobar artery RI at each time point after operation in CABG group was higher than that in OPCAB group(P＜0.05). In CABG group, the renal function index Crea at 4 h after operation was significantly higher than that before operation(P＜0.05), and the difference of the residual index after operation was not statistically significant compared with that before operation(P>0.05). Conclusions: Ultrasound can evaluate the RI changes of renal segmental artery and renal interlobar artery in early stage after coronary artery bypass surgery, the RI of renal segmental artery and the renal interlobar artery in early stage after CABG are higher than that before operation. The effect of CABG on renal blood flow RI changes is more obvious than that of OPCAB.

Key words： Coronary disease Renal artery Vascular resistance Ultrasonography, Doppler, color

Received: 27 June 2017

PACS:	Ｒ543.3
	Ｒ445.1

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	LIU Hui
	FU Yong
	LI Ming-xing
	LUO Zhi-jian
	YU Feng-xu
	DENG Ming-bin

Cite this article:

LIU Hui,FU Yong,LI Ming-xing, et al. Ultrasonographic evaluation of RI changes of the renal segmental artery and interlobar artery after CABG and OPCAB[J]. JOURNAL OF CHINA MEDICAL IMAGING, 2018, 29(4): 263-266.

URL:

http://www.jccmi.com.cn/EN/ OR http://www.jccmi.com.cn/EN/Y2018/V29/I4/263

[1]Chalmers J, Mediratta N, McShane J, et al. The long-term effects of developing renal failure post-coronary artery bypass surgery, in patients with normal preoperative renal function[J]. Eur J Cardiothorac Surg, 2013, 43(3): 555-559.
[2]Shen W, Aguilar R, Montero AR, et al. Acute kidney injury and in-hospital mortality after coronary artery bypass graft versus percutaneous coronary intervention: a nationwide study[J]. Am J Nephrol, 2017, 45(3): 217-225.
[3]刘慧，付勇，李明星，等. 肾血流阻力指数与体外循环手术急性肾损害的相关性[J]. 中国医学影像技术，2014，30（1）：95-98.
[4]付勇，于风旭，邓明彬，等. CCABG和OPCAB两种术式冠脉搭桥术后神经系统并发症的分析[J]. 泸州医学院学报，2015，38（6）：554-557.
[5]Yang PL, Wong DT, Dai SB, et al. The feasibility of measuring renal blood flow using transesophageal echocardiography in patients undergoing cardiac surgery[J]. Anesth Analg, 2009, 108(5): 1418-1424.
[6]Takahashi H, Okada K, Matsumori M, et al. Off-pump coronary artery bypass grafting in an octogenarian with situs inversus and dextrocardia: report of a case[J]. Surg Today, 2011, 41(8): 1130-1132.
[7]陈庆良，郭志刚，王联群，等. 65岁以上患者非体外循环下冠状动脉搭桥术围术期肾损伤的危险因素及预后关系[J]. 中华医学杂志，2010，90（48）：3407-3410.
[8]Sezer F, Uslu AU, Egilmez H, et al. The evaluation of renal hemodynamics changes in Familial Mediterranean fever with color Doppler sonography[J]. Ren Fail, 2016, 38(8): 1161-1166.
[9]Granata A, Zanoli L, Clementi S, et al. Resistive intrarenal index: myth or reality?[J]. Br J Radiol, 2014, 87(1038): 20140004.
[10]Gazhonova VE, Zykova AS, Chistiakov AA, et al. Prognostic value of renal resistance index in estimating the progression of chronic kidney disease[J]. Ter Arkh, 2015, 87(6): 29-33.
[11]Regolisti G, Maggiore U, Cademartiri C, et al. Renal resistive index by transesophageal and transparietal echo-doppler imaging for the prediction of acutekidney injury in patients undergoing major heart surgery[J]. J Nephrol, 2017, 30(2): 243-253.
[12]Singh RS, Thingnam SKS, Mishra AK, et al. Renal function after off-pump versus on-pump coronary artery bypass grafting[J]. Asian Cardiovasc Thorac Ann, 2017, 25(7-8): 504-508.
[13]Fiorini F, Granata A, Noce A, et al. Index resistance in renal ultrasound: what is the clinical significance?[J]. G Ital Nefrol, 2013, 30(2):.
[14]Gazhonovz VE, Zykova AS, Chistiakov AA, et al. Prognostic value of renal resistance index in estimating the progression of chronic kidney disease[J]. Ter Arkh, 2015, 87(6): 29-33.
[15]贾宾，蔡兵，王天龙. 体外循环与非体外循环下冠脉搭桥术患者术中血液动力学的变化[J]. 山东医药，2011，51（36）：49-50.
[16]王怀斌，甄文俊，佟宏峰，等. 停跳与不停跳冠状动脉旁路移植术对肾功能的影响比较[J]. 中华胸心血管外科杂志，2004，20（6）：354.
[17]Shroyer AL, Hattler B, Wagner TH, et al. Five-Year Outcomes after On-Pump and Off-Pump Coronary-Artery Bypass[J]. N Engl J Med, 2017, 377(7): 623-632.