Efficacy of off-pump coronary artery bypass grafting for the patients on chronic hemodialysis.

被引：20

作者：

Hirose H. ^{[1
]}

Amano A. ^{[1
]}

Takahashi A. ^{[1
]}

机构：

[1] Department of Cardiorasculas Surgery, Kobari General Hospital, Noda City, 29-1 Yokouchi, Chiba

来源：

The Japanese Journal of Thoracic and Cardiovascular Surgery | 2001年 / 49卷 / 12期

关键词：

coronary artery disease; renal failure; hemodialysis; off-pump coronary artery bypass grafting;

D O I：

10.1007/BF02913507

中图分类号：

学科分类号：

摘要：

OBJECTIVE: Coronary artery bypass grafting (CABG) under a beating heart is reported to be less invasive and promise earlier recovery. This study was performed to evaluate the efficacy of off-pump CABG in patients with end-stage renal failure. METHODS: Isolated CABG was performed on 40 hemodialysis patients at Shin-Tokyo Hospital Group between September 1, 1993, and December 31, 2000. Among them, off-pump CABG was performed in 16 and on-pump CABG in 24. Their preoperative, perioperative, and follow-up data were retrospectively collected. RESULTS: Patient's demographics and coronary risk factors were similar in off-pump and on-pump groups. The mean number of bypass grafts was 1.9 +/- 1.1 in the off-pump group and 2.8 +/- 1.1 in the on-pump group (P < 0.05). Blood transfusion was significantly less frequent in the off-pump group than in on-pump group. Postoperative complications were more frequently observed in the on-pump group (7.1% off-pump vs 25.0% on-pump). There were two hospital deaths in the on-pump group and none in the off-pump group. Postoperative intubation time, ICU stay, and hospital stay were significantly shorter in the off-pump group than in the on-pump group. Although follow-up period was short (1.1 +/- 0.7 years), no cardiac events occurred in the off-pump group. CONCLUSIONS: Off-pump CABG for hemodialysis patients is safe and useful and it enables early recovery. Postoperative cardiac events were controlled effectively during the short period of follow-up.

引用

页码：693 / 699

页数：6

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