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Coronary surgery in dialysis-dependent patients with end stage renal failure.
Tugtekin, S M; Alexiou, K; Georgi, Ch; Kappert, U; Knaut, M; Matschke, K.
Afiliación
  • Tugtekin SM; Dept. of Cardiac Surgery, Heart Center Dresden University Hospital, Fetscherstr. 76, 01307, Dresden, Germany. M.Weber@herzzentrum-dresden.com
Z Kardiol ; 94(10): 679-83, 2005 Oct.
Article en En | MEDLINE | ID: mdl-16200483
The number of patients with dialysis-dependent end stage renal failure (ESRF) and coronary heart disease (CAD) has increased in recent years. Coronary artery bypass grafting (CABG) has become the standard treatment for CAD in this patient group, but is still considered as a risk procedure due to increased mortality and morbidity. In a retrospective study we analyzed our clinical results of isolated CABG in 40 dialysis-dependent patients with ESRF (5 female and 35 male, mean age 65+/-8.4 years) and the use of extracorporeal circulation. The perioperative control group comprised 51 patients (10 female and 41 male, mean age 67+/-7.3 years) with normal renal function and isolated CABG. Demographic and preoperative data were comparable in both groups. Hospital mortality was 2.5% in patients with ESRF and 0% in patients with normal renal function. Morbidity was comparable in both groups. The mean number of grafts was 3.1+/-0.9 in the dialysis group and 2.9+/-0.8 in the control group. In the follow-up of the dialysis group (34+/-23 months) 8 patients died. CABG in patients with dialysis-dependent ESRF can be performed with good clinical results and morbidity comparable to patients with normal renal function.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Puente de Arteria Coronaria / Diálisis Renal / Medición de Riesgo / Circulación Extracorporea / Fallo Renal Crónico Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Z Kardiol Año: 2005 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Alemania
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Puente de Arteria Coronaria / Diálisis Renal / Medición de Riesgo / Circulación Extracorporea / Fallo Renal Crónico Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Z Kardiol Año: 2005 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Alemania