Off-pump versus on-pump complete coronary artery bypass grafting: Comparison of the effects on the renal damage in patients with renal dysfunction

Medicine
Umit ArslanBilgehan Erkut

Abstract

We aimed to compare off-pump technique with on-pump technique on renal function in patients with nondialysis-dependent renal dysfunction who underwent coronary artery bypass grafting. The 94 patients with renal dysfunction undergoing isolated coronary artery bypass grafting were retrospectively analyzed. No patient was receiving dialysis. Patients were randomly assigned to conventional revascularization with cardiopulmonary bypass and beating heart. Both groups were compared in terms of renal dysfunction parameters and dialysis requirement. The logistic regression models were constructed to identify risk factors associated with dialysis requirement. Renal dysfunction requiring dialysis developed in 9 patients in the on-pump group. The measures analysis of variance was performed on the data that showed worsening of renal function in the on-pump group compared with the off-pump group. Cardiopulmonary bypass is significant as independent predictor for the development of postoperative dialysis. These results suggest that off-pump coronary revascularization offers a superior renal protection and has a significantly lower risk for renal complications in patients with nondialysis-dependent renal dysfunction when compared with conventi...Continue Reading

References

Jun 1, 1976·Annals of Internal Medicine·J G BhatD S Baldwin
Jul 1, 1989·The Annals of Thoracic Surgery·G S WeinsteinD H Tyras
Aug 1, 1995·Australian and New Zealand Journal of Medicine·G J MangosJ A Whitworth
Jan 1, 1996·The Annals of Thoracic Surgery·E BuffoloW J Gomes
Feb 18, 1997·Circulation·G M ChertowJ Daley
Nov 14, 1998·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·D Bouchard, R Cartier
Jul 1, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·L LabrousseE Baudet
Sep 4, 1999·The Annals of Thoracic Surgery·R AscioneG D Angelini
Oct 30, 1999·The Annals of Thoracic Surgery·J M MurkinR C Peterson
Apr 6, 2000·The Annals of Thoracic Surgery·K V AromR J Petersen
May 9, 2000·The Annals of Thoracic Surgery·L KhaitanS M Goldman
Jul 13, 2000·The Annals of Thoracic Surgery·V R KshettryR J Petersen
Oct 4, 2000·The Annals of Thoracic Surgery·D L FrangaF A Crawford
Oct 4, 2000·The Annals of Thoracic Surgery·J C HartE W Jansen
Jan 12, 2001·Japanese Circulation Journal·N HayashidaS Aoyagi
Oct 18, 2001·The Annals of Thoracic Surgery·J C ClevelandF L Grover
Jan 26, 2002·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·H HiroseA Takahashi
Jul 10, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·A T M TangS K Ohri
Aug 31, 2002·The Journal of Thoracic and Cardiovascular Surgery·Michael MackMitchell Magee
Sep 27, 2002·The Journal of Thoracic and Cardiovascular Surgery·Joseph F SabikBruce W Lytle
Oct 17, 2002·Circulation Journal : Official Journal of the Japanese Circulation Society·Nobuhiko HayashidaShigeaki Aoyagi
Oct 29, 2002·The Annals of Thoracic Surgery·Zile Singh MeharwalNaresh Trehan
Feb 28, 2003·The Annals of Thoracic Surgery·Yoshihiro NakayamaTsuyoshi Itoh
Mar 13, 2003·Journal of Cardiac Surgery·Tadashi TashiroMichio Kimura
Jul 23, 2003·Journal of the American Society of Nephrology : JASN·Ravindra L Mehta, Glenn M Chertow
Nov 7, 2003·The Annals of Thoracic Surgery·James T RestonCharles M Turkelson
Mar 3, 2004·The Annals of Thoracic Surgery·Mark I StallwoodNigel D Scawn
Nov 25, 2004·The Annals of Thoracic Surgery·Minoru TabataYasuyuki Hosoda
Apr 5, 2008·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Parwis MassoudyStefan Herget-Rosenthal
Oct 1, 2005·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·John PuskasVipin Zamvar

❮ Previous
Next ❯

Citations

Oct 7, 2021·Journal of Cardiac Surgery·Hideki KitamuraYasuhide Okawa

❮ Previous
Next ❯

Methods Mentioned

BETA
coronary artery bypass
coronary bypass

Software Mentioned

SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Asian Cardiovascular & Thoracic Annals
Joanna S M OoiMohd Z Dimon
The Annals of Thoracic Surgery
Ali Asghar BolourianSeyed Ahmad Hassantash
European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
W B GerritsenL P Aarts
© 2022 Meta ULC. All rights reserved