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Ponomareva A.D.

Almazov National Medical Research Center, Saint-Petersburg, Russia

Leiderman I.N.

Almazov National Medical Research Center, St. Petersburg, Russia

Kasherininov I.Yu.

Almazov National Medical Research Center, Saint-Petersburg, Russia

Danilov I.N.

Almazov National Medical Research Center, St. Petersburg, Russia

Sadovnikov S.A.

Almazov National Medical Research Center, Saint-Petersburg, Russia

Perioperative predictors of acute mesenteric ischemia in patients undergoing on-pump cardiac surgery

Authors:

Ponomareva A.D., Leiderman I.N., Kasherininov I.Yu., Danilov I.N., Sadovnikov S.A.

More about the authors

Journal: Russian Journal of Anesthesiology and Reanimatology. 2026;(3): 17‑24

DOI: 10.17116/anaesthesiology202603117

Read: 301 times

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Table of contents

PERIOPERATIVE PREDICTORS OF ACUTE MESENTERIC ISCHEMIA IN PATIENTS UNDERGOING ON-PUMP CARDIAC SURGERY
PERIOPERATIVE PREDICTORS OF ACUTE MESENTERIC ISCHEMIA IN PATIENTS UNDERGOING ON-PUMP CARDIAC SURGERY

To cite this article:

Ponomareva AD, Leiderman IN, Kasherininov IYu, Danilov IN, Sadovnikov SA. Perioperative predictors of acute mesenteric ischemia in patients undergoing on-pump cardiac surgery. Russian Journal of Anesthesiology and Reanimatology. 2026;(3):17‑24. (In Russ.)
https://doi.org/10.17116/anaesthesiology202603117

МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To identify predictors of acute mesenteric ischemia (AMI) in patients undergoing on-pump cardiac surgery.

MATERIAL AND METHODS

A case-control study was conducted between 2020 and 2025 and included 100 ICU patients after on-pump cardiac surgery. Key perioperative parameters were compared between patients with AMI after surgery (group 1, n=50) and eligible patients without AMI (group 2, n=50).

RESULTS

According to ROC analysis, P-POSSUM score, VIS (vascular inotropic index), chronic heart failure NYHA class III—IV, ALT, CPB and aortic cross-clamping time showed satisfactory predictive ability, whereas EuroScore II, leukocyte/platelet ratio (WPR), surgery time and blood loss demonstrated good predictive ability. Original model for predicting postoperative AMI includes four predictors: EuroScore II, WPR, surgery time and blood loss. When assessing the effectiveness of the model, AUC was 0.85±0.04 (95% CI 0.77—0.92) (p<0.001). Sensitivity was 80%, specificity — 76%.

CONCLUSION

Perioperative predictors of AMI in early postoperative period after on-pump cardiac surgery include EuroScore II >7, CHF NYHA class III—IV, surgery time >225 min, CPB time >105 min, blood loss >275 ml, WPR >0.036.

Keywords:

cardiac surgery
cardiopulmonary bypass
complications
acute mesenteric ischemia
predictors
intensive care unit

Authors:

Ponomareva A.D.

Almazov National Medical Research Center, Saint-Petersburg, Russia

Leiderman I.N.

Almazov National Medical Research Center, St. Petersburg, Russia

Kasherininov I.Yu.

Almazov National Medical Research Center, Saint-Petersburg, Russia

Danilov I.N.

Almazov National Medical Research Center, St. Petersburg, Russia

Sadovnikov S.A.

Almazov National Medical Research Center, Saint-Petersburg, Russia

Received:

24.11.2025

Accepted:

28.01.2026

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