Abstract:

Introduction: Chronic kidney failure patients with coronary bacterial surgery have a higher mortality and morbidity than normal kidney function patients. The results of patients who entered chronic kidney dysfunction and subsequently subsequently subsequently subsequently subsequently subsequently subsequently subsequently subsequently subsequently subsequently subsequently subsequently subsequently subsequently subsequently subsequently subsequently subsequently subsequently. Patients and Method: 55 patients under coronary bacterial surgery were included in this study. Of these patients, 36 (65.5%) were male and 19 (34.5%) female. The average age is 61.24 ± 10.1 years (34-83). In 30% of cases, preoperative functional capacity was poor (NYHA average was 2.04 ± 0.81). In total, 32 (58.2) of the patients were revascularized and 23 (41.8) were missing. As a surgical approach, 30 patients were applied with cardiopulmonary bacteria and 25 patients without cardiopulmonary bacteria. Results: The average extubation time of patients was 16.43 ± 11.89 hours (5-72), the average stay time in intensive care was 6.63 ± 6.48 days (2-30). The hospital mortality was 15 patients with 27.3%, the peroperative myocardial infarction rate was 20%, and the inotropic support rate was 27.3%. Although there was no statistical difference in mortality between the surgical techniques (p=0.476), the mortality in the KPB group (%32) was higher than in the KPB+ group (%23.4). The total revascularization applied was significantly higher in the cardiopulmonary bacterium group (86.7%) than in the non-cardiopulmonary bacterium group (24%) (p< 0.001). The result: in chronic renal insufficiency, the target in coronary bacterial trials should be complete revascularization. For this purpose and if necessary, the selection of the cardiopulmonary bacterial technique for the application of intraoperative hemodialysis seems more appropriate. Since preoperative functional capacity affects the operational results, preoperative support therapy (intraortic balloon pump, inotropic support) should necessarily be applied in patients with heart failure or with emergency surgery.

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