Clinical Physiology of Circulation

ISSN 1814-6910 (Print)
ISSN 2410-9134 (Online)

 

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Issue's catalogue ➤ КФК. 2023; 20 (1): 1-88 ➤ Комплексная ультразвуковая оценка гемодинамических параметров сердца и почек в ранней диагностике осложнений после аортокоронарного шунтирования

Comprehensive ultrasound for heart and kidney hemodynamic assessment in the early diagnosis of complications after coronary artery bypass grafting surgery

Authors: Golukhova E.Z., Aslanidis I.P., Sokolskaya N.O., Pursanova D.M., Kopylova N.S., Khachatryan A.G.

Company:
Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2023-20-1-56-66

UDC: 616.61-008.64-073.43:616.12-089.86

Link: Clinical Physiology of Blood Circulaiton. 2023; 1 (20): 56-66

Quote as: Golukhova E.Z., Aslanidis I.P., Sokolskaya N.O., Pursanova D.M., Kopylova N.S., Khachatryan A.G. Comprehensive ultrasound for heart and kidney hemodynamic assessment in the early diagnosis of complications after coronary artery bypass grafting surgery. Clinical Physiology of Circulation. 2023; 20 (1): 56–66 (in Russ.). DOI: 10.24022/1814-6910-2023-20-1-56-66

Keywords:  cardiac surgery coronary artery bypass grafting surgery cardiopulmonary bypass ultrasound diagnostics Doppler scanning echocardiography resistive index acute kidney injury cardiorenal syndrome complication

Received / Accepted:  31.01.2023 / 17.03.2023

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Abstract

Objective. Search for early ultrasound markers of acute kidney injury (AKI) and study of their relationship with echocardiography data in patients in the early postoperative period after coronary artery bypass grafting surgery (CABG).

Material and methods. The analysis included 108 patients before and after CABG: 14 (13%) with AKI and 94 (87%) without complications. All patients underwent ultrasound examination of the kidneys with Doppler scanning and echocardiography before and on the first day after surgery.

Results. The analysis revealed a significant decrease in speed values, as well as an increase in the resistive index (RI) and pulsatility index (PI) in the group with AKI, compared with the control group (p < 0.001). In the AKI group (n =14) a direct correlation between RI and creatinine level was found (R = 0.830, p < 0.05). ROC-curve analysis for the RI threshold for the diagnosis of AKI showed 0.76 with sensitivity 71% and specificity 96% (AUC = 0.930). Comparative assessment of renal Doppler data and echocardiography in the AKI group revealed an inverse correlation between RI and cardiac index (R = -0.874, p < 0.05).

Conclusion. The use of comprehensive ultrasound for heart and kidney hemodynamic assessment allows the early diagnostics of AKI as well as dynamic monitoring of patients in the early postoperative period after CABG.

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About Authors

  • Elena Z. Golukhova, Dr. Med. Sci., Academican of Russian Academy of Sciences, Director; ORCID
  • Irakliy P. Aslanidis, Dr. Med. Sci., Professor, Deputy Director, Head of Department of Nuclear Diagnostics; ORCID
  • Nadezhda O. Sokolskaya, Dr. Med. Sci., Head of Group of Emergency Ultrasound and Functional Diagnostics; ORCID
  • Diana M. Pursanova, Dr. Med. Sci., Senior Researcher; ORCID
  • Natalya S. Kopylova, Cand. Med. Sci., Senior Researcher; ORCID
  • Anzhela G. Khachatryan, Postgraduate; ORCID

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