Effects of cardiopulmonary bypass on dialysis-dependent patients.
Cardiovasc J Afr
; 30(5): 275-278, 2019.
Article
en En
| MEDLINE
| ID: mdl-31140548
BACKGROUND: End-stage renal disease is considered an independent risk factor for early and late survival after coronary artery bypass grafting. METHODS: We retrospectively analysed patients with dialysis-dependent renal insufficiency who had undergone coronary artery bypass surgery between 2010 and 2017. Patients who were operated with the assistance of cardiopulmonary bypass (ONCAB) were in group 1 and those operated with off-pump coronary artery bypass surgery (OPCAB) were in group 2. We compared peri-operative morbidity and mortality rates and short-term results of the two groups. RESULTS: There were 74 patients in group 1 and 36 in group 2. Blood transfusion requirement, drainage, need for intra-aortic balloon pump and duration of stay in intensive care unit was statistically significantly higher in group 1 (p < 0.05). Also, postoperative creatine kinase (CK) and creatine kinasemuscle/brain (CKMB) values were statistically significantly higher in group 1 (p = 0.003). CONCLUSIONS: Coronary artery bypass grafting under ONCAB was a potential risk for morbidity and mortality in patients with end-stage renal disease. Performing OPCAB surgery may improve postoperative outcomes and should be kept in mind as a surgical option.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Enfermedad de la Arteria Coronaria
/
Puente Cardiopulmonar
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Puente de Arteria Coronaria
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Diálisis Renal
/
Fallo Renal Crónico
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Cardiovasc J Afr
Asunto de la revista:
ANGIOLOGIA
/
CARDIOLOGIA
Año:
2019
Tipo del documento:
Article
País de afiliación:
Turquía
Pais de publicación:
Sudáfrica