Multicenter trial of carperitide in patients with renal dysfunction undergoing cardiovascular surgery
Purpose The aim of this study was to evaluate the efficacy of carperitide in maintaining renal function during intraoperative and postoperative management of patients with renal dysfunction undergoing elective cardiovascular surgery. Methods The subjects were 88 patients with a preoperative serum cr...
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| Published in | General thoracic and cardiovascular surgery Vol. 60; no. 1; pp. 21 - 30 |
|---|---|
| Main Authors | , |
| Format | Journal Article |
| Language | English |
| Published |
Japan
Springer Japan
01.01.2012
Springer Nature B.V |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1863-6705 1863-6713 1863-6713 |
| DOI | 10.1007/s11748-011-0846-5 |
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| Abstract | Purpose
The aim of this study was to evaluate the efficacy of carperitide in maintaining renal function during intraoperative and postoperative management of patients with renal dysfunction undergoing elective cardiovascular surgery.
Methods
The subjects were 88 patients with a preoperative serum creatinine level ≥1.2 mg/dl who underwent elective cardiovascular surgery using cardiopulmonary bypass. They were prospectively divided into a group that received carperitide from the start of surgery (carperitide group,
n
= 44) and a group that was not given carperitide (control group,
n
= 44). Carperitide infusion was initiated at the beginning of surgery and was continued for ≥5 days, with the central dose being 0.02 g/kg/min. The primary endpoint was the serum creatinine level on postoperative day (POD) 3.
Results
The serum creatinine levels on PODs 3, 4, and 7 were significantly lower, and creatinine clearance on PODs 2 and 3 was significantly higher in the carperitide group than in the controls. One patient in the control group and no patient in the carperitide group required continuous hemodiafiltration, but the difference was not statistically significant.
Conclusion
Continuous low-dose infusion of carperitide from the start of cardiovascular surgery maintained renal function in patients with preoperative renal dysfunction. |
|---|---|
| AbstractList | The aim of this study was to evaluate the efficacy of carperitide in maintaining renal function during intraoperative and postoperative management of patients with renal dysfunction undergoing elective cardiovascular surgery.PURPOSEThe aim of this study was to evaluate the efficacy of carperitide in maintaining renal function during intraoperative and postoperative management of patients with renal dysfunction undergoing elective cardiovascular surgery.The subjects were 88 patients with a preoperative serum creatinine level ≥1.2 mg/dl who underwent elective cardiovascular surgery using cardiopulmonary bypass. They were prospectively divided into a group that received carperitide from the start of surgery (carperitide group, n = 44) and a group that was not given carperitide (control group, n = 44). Carperitide infusion was initiated at the beginning of surgery and was continued for ≥5 days, with the central dose being 0.02 g/kg/min. The primary endpoint was the serum creatinine level on postoperative day (POD) 3.METHODSThe subjects were 88 patients with a preoperative serum creatinine level ≥1.2 mg/dl who underwent elective cardiovascular surgery using cardiopulmonary bypass. They were prospectively divided into a group that received carperitide from the start of surgery (carperitide group, n = 44) and a group that was not given carperitide (control group, n = 44). Carperitide infusion was initiated at the beginning of surgery and was continued for ≥5 days, with the central dose being 0.02 g/kg/min. The primary endpoint was the serum creatinine level on postoperative day (POD) 3.The serum creatinine levels on PODs 3, 4, and 7 were significantly lower, and creatinine clearance on PODs 2 and 3 was significantly higher in the carperitide group than in the controls. One patient in the control group and no patient in the carperitide group required continuous hemodiafiltration, but the difference was not statistically significant.RESULTSThe serum creatinine levels on PODs 3, 4, and 7 were significantly lower, and creatinine clearance on PODs 2 and 3 was significantly higher in the carperitide group than in the controls. One patient in the control group and no patient in the carperitide group required continuous hemodiafiltration, but the difference was not statistically significant.Continuous low-dose infusion of carperitide from the start of cardiovascular surgery maintained renal function in patients with preoperative renal dysfunction.CONCLUSIONContinuous low-dose infusion of carperitide from the start of cardiovascular surgery maintained renal function in patients with preoperative renal dysfunction. PurposeThe aim of this study was to evaluate the efficacy of carperitide in maintaining renal function during intraoperative and postoperative management of patients with renal dysfunction undergoing elective cardiovascular surgery.MethodsThe subjects were 88 patients with a preoperative serum creatinine level ≥1.2 mg/dl who underwent elective cardiovascular surgery using cardiopulmonary bypass. They were prospectively divided into a group that received carperitide from the start of surgery (carperitide group, n = 44) and a group that was not given carperitide (control group, n = 44). Carperitide infusion was initiated at the beginning of surgery and was continued for ≥5 days, with the central dose being 0.02 g/kg/min. The primary endpoint was the serum creatinine level on postoperative day (POD) 3.ResultsThe serum creatinine levels on PODs 3, 4, and 7 were significantly lower, and creatinine clearance on PODs 2 and 3 was significantly higher in the carperitide group than in the controls. One patient in the control group and no patient in the carperitide group required continuous hemodiafiltration, but the difference was not statistically significant.ConclusionContinuous low-dose infusion of carperitide from the start of cardiovascular surgery maintained renal function in patients with preoperative renal dysfunction. Purpose The aim of this study was to evaluate the efficacy of carperitide in maintaining renal function during intraoperative and postoperative management of patients with renal dysfunction undergoing elective cardiovascular surgery. Methods The subjects were 88 patients with a preoperative serum creatinine level ≥1.2 mg/dl who underwent elective cardiovascular surgery using cardiopulmonary bypass. They were prospectively divided into a group that received carperitide from the start of surgery (carperitide group, n = 44) and a group that was not given carperitide (control group, n = 44). Carperitide infusion was initiated at the beginning of surgery and was continued for ≥5 days, with the central dose being 0.02 g/kg/min. The primary endpoint was the serum creatinine level on postoperative day (POD) 3. Results The serum creatinine levels on PODs 3, 4, and 7 were significantly lower, and creatinine clearance on PODs 2 and 3 was significantly higher in the carperitide group than in the controls. One patient in the control group and no patient in the carperitide group required continuous hemodiafiltration, but the difference was not statistically significant. Conclusion Continuous low-dose infusion of carperitide from the start of cardiovascular surgery maintained renal function in patients with preoperative renal dysfunction. The aim of this study was to evaluate the efficacy of carperitide in maintaining renal function during intraoperative and postoperative management of patients with renal dysfunction undergoing elective cardiovascular surgery. The subjects were 88 patients with a preoperative serum creatinine level ≥1.2 mg/dl who underwent elective cardiovascular surgery using cardiopulmonary bypass. They were prospectively divided into a group that received carperitide from the start of surgery (carperitide group, n = 44) and a group that was not given carperitide (control group, n = 44). Carperitide infusion was initiated at the beginning of surgery and was continued for ≥5 days, with the central dose being 0.02 g/kg/min. The primary endpoint was the serum creatinine level on postoperative day (POD) 3. The serum creatinine levels on PODs 3, 4, and 7 were significantly lower, and creatinine clearance on PODs 2 and 3 was significantly higher in the carperitide group than in the controls. One patient in the control group and no patient in the carperitide group required continuous hemodiafiltration, but the difference was not statistically significant. Continuous low-dose infusion of carperitide from the start of cardiovascular surgery maintained renal function in patients with preoperative renal dysfunction. |
| Author | HISATOMI Kazuki EISHI Kiyoyuki |
| Author_xml | – sequence: 1 givenname: Kazuki surname: Hisatomi fullname: Hisatomi, Kazuki email: kazuhisa12121212@yahoo.co.jp organization: Department of Cardiovascular Surgery, Nagasaki University Hospital – sequence: 2 givenname: Kiyoyuki surname: Eishi fullname: Eishi, Kiyoyuki organization: Department of Cardiovascular Surgery, Nagasaki University Hospital |
| BackLink | https://cir.nii.ac.jp/crid/1572543025653276288$$DView record in CiNii https://www.ncbi.nlm.nih.gov/pubmed/22237735$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1002_14651858_CD014937_pub2 crossref_primary_10_1016_j_ejim_2019_11_025 crossref_primary_10_1016_j_biopha_2024_117152 crossref_primary_10_1016_j_jjcc_2015_09_011 crossref_primary_10_1253_circj_CJ_18_0057 crossref_primary_10_1186_s13054_019_2330_z crossref_primary_10_1002_14651858_CD003590_pub4 crossref_primary_10_1007_s11897_012_0126_4 crossref_primary_10_3918_jsicm_28_173 |
| Cites_doi | 10.1038/ki.1994.225 10.1093/ndt/14.5.1158 10.1097/00003246-200108000-00005 10.1055/s-2007-1013861 10.1016/S0003-4975(99)01305-3 10.1161/01.CIR.76.1.115 10.1097/01.CCM.0000128560.57111.CD 10.1016/j.jacc.2009.05.047 10.1007/BF01712242 10.1161/CIRCULATIONAHA.108.800011 10.1007/s00134-004-2490-3 10.1161/01.CIR.95.4.878 10.1016/S0022-5223(19)34326-0 10.1164/ajrccm.165.3.2106086 10.7326/0003-4819-128-3-199802010-00005 10.1002/14651858.CD006028.pub2 10.1681/ASN.V11197 10.1016/S0022-5223(94)70429-5 |
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| Copyright | The Japanese Association for Thoracic Surgery 2012 The Japanese Association for Thoracic Surgery 2012. |
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| Keywords | Creatinine Carperitide Cardiovascular surgery Creatinine clearance Renal dysfunction |
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| Title | Multicenter trial of carperitide in patients with renal dysfunction undergoing cardiovascular surgery |
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