Evidence map›Paper›PMID 41543412›Full record

ArticleAnnals of cardiac anaesthesia2026

The Relationship between Intraoperative Respiratory Variability of the Inferior Vena Cava Diameter on Transesophageal Echocardiography and Acute Kidney Injury in Patients Undergoing Coronary Artery Bypass Grafting Surgery: A Prospective Multicenter Cohort Study.

Binghua Liu, Xiumei Song, Hongyu Xu, Guoqing Zhang, Haiyan Wang, Yongtao Sun, Ling Dong, Hai Feng, Meng Lv, Yuelan Wang

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Annals of cardiac anaesthesia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Binghua LiuDepartment of Anesthesiology, Shandong Provincial Hospital, Shandong University, Jinan 250102, Shandong, China.
Xiumei SongDepartment of Anesthesiology and Perioperative Medicine, The First Hospital Affiliated of Shandong First Medical University, No. 16766 Jingshi Road, Jinan 250014, Shandong, China.
Hongyu XuDepartment of Anesthesiology, Zibo Central Hospital, No. 54 Gingqingtuan West Road, Zibo 255036, Shandong, China.
Guoqing ZhangDepartment of Anesthesiology, Shandong Linyi Hospital, Linyi, 276000, Shandong, China.
Haiyan WangDepartment of Medical Ultrasond, The First Affiliated Hospital of Shandong First Medical University, No. 16766 Jingshi Road, Jinan 250014, Shandong, China.
Yongtao SunDepartment of Anesthesiology and Perioperative Medicine, The First Hospital Affiliated of Shandong First Medical University, No. 16766 Jingshi Road, Jinan 250014, Shandong, China.
Ling DongDepartment of Anesthesiology and Perioperative Medicine, The First Hospital Affiliated of Shandong First Medical University, No. 16766 Jingshi Road, Jinan 250014, Shandong, China.
Hai FengDepartment of Anesthesiology and Perioperative Medicine, The First Hospital Affiliated of Shandong First Medical University, No. 16766 Jingshi Road, Jinan 250014, Shandong, China.
Meng LvDepartment of Anesthesiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, Shandong, China.
Yuelan WangDepartment of Anesthesiology, Shandong Provincial Hospital, Shandong University, Jinan 250102, Shandong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrently, there have been no studies on the relationship between the transesophageal echocardiography (TEE), an indicator of respiratory variability of the inferior vena cava diameter (ΔIVC), and the incidence of postoperative acute kidney injury (AKI) in patients undergoing coronary artery bypass grafting (CABG) surgery have been conducted. The primary objective of this study was to investigate the relationship between ΔIVC and the incidence of postoperative AKI in CABG patients.

methodsA multicenter prospective cohort study was conducted from September 2021 to July 2022 in patients over 18 years of age who underwent elective CABG. We measured the diameter of the inferior vena cava (D-IVC) via M-mode TEE using the transgastric long axis (LAX) view (70°) of the IVC, approximately 2 cm caudal to the right atrium. All echocardiographic indicators were measured three times in a row at the following three time points: T0 (before the CABG surgery began), T2 (approximately 5-10 minutes after protamine neutralization), and T3 (after the sternum was closed), after which the values were averaged.

resultsThe association between the TEE index (ΔIVC) and the incidence of postoperative AKI in patients with CABG was not statistically significant. However, multivariate logistic regression analysis revealed that the central venous pressure (CVP) at T3 was independently associated with postoperative AKI.

conclusionsThe TEE indicator ΔIVC was not significantly associated with the incidence of postoperative AKI. The clinical efficacy of TEE in isolated coronary artery bypass surgery needs further study.

Indexed as

Acute Kidney InjuryCoronary Artery BypassEchocardiography, TransesophagealPostoperative ComplicationsRespirationVena Cava, InferiorAgedCohort StudiesFemaleHumansIncidenceMaleMiddle AgedProspective StudiesAcute kidney injurycentral venous pressurecoronary artery bypass graftingtransesophageal echocardiographyvariability of inferior vena cava diameter

Identifiers

PMID41543412
PMCPMC12935143

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