Continuous Hemofiltration in the Perioperative Management for Chronic Hemodialysis Patients Undergoing Coronary Artery Bypass Surgery / 日本心臓血管外科学会雑誌

ABSTRACT

Coronary artery bypass surgery was performed in 7 chronic hemodialysis patients. Hemodialysis and extracorporeal ultrafiltration methods were used during cardiopulmonary bypass, and continuous hemofiltration was performed in the early postoperative days in the intensive care unit. Water and electrolyte balances were successfully controlled in all patients, and hemodialysis was restarted after the second postoperative day. There were no perioperative complications and all patients are surviving. These methods of perioperative management for chronic hemodialysis patients undergoing coronary artery bypass surgery, especially consinuous hemofiltration in the early postoperative days, are considered safe and useful.