Coronary artery bypass grafting in hemodialysis-dependent patients: analysis of Japan Adult Cardiovascular Surgery Database

Circulation Journal : Official Journal of the Japanese Circulation Society
Takashi YamauchiYoshiki Sawa

Abstract

Perioperative risk during coronary artery bypass grafting (CABG) is reportedly high in patients with chronic renal disease. We aimed to determine postoperative mortality and morbidity and identify the perioperative risk factors of mortality during CABG in hemodialysis (HD)-dependent patients. From the Japan Adult Cardiovascular Surgery Database, we compared 1,300 HD-dependent chronic renal failure patients with 18,387 non-HD patients who all underwent isolated CABG between January 2005 and December 2008. The operative mortality and mortality, including major morbidity, was 4.8% vs. 1.4% and 23.1% vs. 13.7% in the HD and non-HD groups, respectively. Preoperative predictors of operative mortality included age, chronic obstructive pulmonary disease, peripheral arterial disease, congestive heart failure, arrhythmia, preoperative inotropic agent requirement, New York Heart Association class IV, urgent or emergency operation, poor left ventricular function, aortic valve regurgitation (>2), and mitral valve regurgitation (>3). Postoperative predictors of operative mortality included stroke, infection, prolonged ventilation, pneumonia, heart block, and gastrointestinal complications. Compared with non-HD patients, CABG in HD patients w...Continue Reading

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Citations

Jan 11, 2016·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Koji KawahitoYoshio Misawa
Oct 17, 2017·Annals of Vascular Diseases·Daijiro HoriHideo Adachi
Feb 9, 2019·Journal of Cardiac Surgery·Valentino BiancoIbrahim Sultan
Jul 3, 2020·Circulation Journal : Official Journal of the Japanese Circulation Society·Takashi YamauchiNoboru Motomura
Oct 11, 2013·Circulation Journal : Official Journal of the Japanese Circulation Society·Takenori MatsudaYoshiki Sawa
Feb 18, 2014·Circulation Journal : Official Journal of the Japanese Circulation Society·Yoshitaka KumadaToyoaki Murohara
Dec 16, 2018·General Thoracic and Cardiovascular Surgery·Kei AkiyoshiAtsushi Yamaguchi
Apr 7, 2012·Circulation Journal : Official Journal of the Japanese Circulation Society·Naoto Miyagi, Hirokuni Arai
Jul 30, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Kenji Minatoya
Aug 24, 2021·Circulation Journal : Official Journal of the Japanese Circulation Society·Hiroyuki TsukiharaShinichi Takamoto

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