PMID: 11318751Apr 25, 2001Paper

Immediate and long-term results of coronary artery bypass operation in hemodialysis patients

Artificial Organs
S OsakaJ Honda

Abstract

This study evaluated the early and late results of coronary artery bypass grafting (CABG) in patients on long-term maintenance hemodialysis (chronic HD) at Teikyo University Ichihara Hospital between January 1996 and June 2000. Thirty-six patients on chronic HD underwent CABG. There were 26 males (72%) and 10 females (28%) ranging from 41 to 81 years (mean +/- SD, 61.8 +/- 9.2 years) of age. Twenty-one patients (58%) had unstable angina, 14 (39%) stable angina, and 1 acute myocardial infarction. Eleven patients (31%) had urgent or emergency CABG. The average graft number was 2.5 +/- 0.8 (arterial graft 1.3 +/- 0.7/patient). Six patients had concomitant cardiac operations. Three patients underwent re- or a second re-CABG. Five patients underwent off-pump CABG. Principally, HD was performed during cardiopulmonary bypass and was followed by continuous hemodiafiltration in the early postoperative period. The early mortality was 11%; 25% in emergency and urgent CABG and 4% in elective CABG. In the follow-up period between 1 and 53 months (mean +/- SD 21.9 +/- 15.1 months), 4 patients died, and 9 patients developed recurrence of angina pectoris (6, occlusion of saphenous vein graft and 3, native coronary progression). Six patients ha...Continue Reading

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Citations

Feb 13, 2003·Artificial Organs·Lila J PapadimitriouDemetrios V Vlahakos
May 9, 2009·Journal of the American Society of Nephrology : JASN·Taku KokuboEric T Choi
Oct 27, 2009·The Annals of Thoracic Surgery·Yoshiyuki TakamiHisaaki Munakata

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