Nursen Tanrikulu1, Baburhan Ozbek2. 1. Department of Anesthesiology, Kolan International Hospital, Istanbul, Turkey. 2. Department of Paediatric Cardiovascular Surgery, Van Training and Research Hospital, Van, Turkey. Email: baburhanozbek@gmail.com.
Abstract
BACKGROUND: End-stage renal disease is considered an independent risk factor for early and late survival after coronary artery bypass grafting. METHODS: We retrospectively analysed patients with dialysis-dependent renal insufficiency who had undergone coronary artery bypass surgery between 2010 and 2017. Patients who were operated with the assistance of cardiopulmonary bypass (ONCAB) were in group 1 and those operated with off-pump coronary artery bypass surgery (OPCAB) were in group 2. We compared peri-operative morbidity and mortality rates and short-term results of the two groups. RESULTS: There were 74 patients in group 1 and 36 in group 2. Blood transfusion requirement, drainage, need for intra-aortic balloon pump and duration of stay in intensive care unit was statistically significantly higher in group 1 (p < 0.05). Also, postoperative creatine kinase (CK) and creatine kinasemuscle/brain (CKMB) values were statistically significantly higher in group 1 (p = 0.003). CONCLUSIONS: Coronary artery bypass grafting under ONCAB was a potential risk for morbidity and mortality in patients with end-stage renal disease. Performing OPCAB surgery may improve postoperative outcomes and should be kept in mind as a surgical option.
BACKGROUND: End-stage renal disease is considered an independent risk factor for early and late survival after coronary artery bypass grafting. METHODS: We retrospectively analysed patients with dialysis-dependent renal insufficiency who had undergone coronary artery bypass surgery between 2010 and 2017. Patients who were operated with the assistance of cardiopulmonary bypass (ONCAB) were in group 1 and those operated with off-pump coronary artery bypass surgery (OPCAB) were in group 2. We compared peri-operative morbidity and mortality rates and short-term results of the two groups. RESULTS: There were 74 patients in group 1 and 36 in group 2. Blood transfusion requirement, drainage, need for intra-aortic balloon pump and duration of stay in intensive care unit was statistically significantly higher in group 1 (p < 0.05). Also, postoperative creatine kinase (CK) and creatine kinasemuscle/brain (CKMB) values were statistically significantly higher in group 1 (p = 0.003). CONCLUSIONS: Coronary artery bypass grafting under ONCAB was a potential risk for morbidity and mortality in patients with end-stage renal disease. Performing OPCAB surgery may improve postoperative outcomes and should be kept in mind as a surgical option.
Authors: J Matthew Toole; Martha R Stroud; John M Kratz; Arthur J Crumbley; Fred A Crawford; John S Ikonomidis Journal: J Heart Valve Dis Date: 2006-05
Authors: Jan Bucerius; Jan F Gummert; Thomas Walther; Dierk V Schmitt; Nicolas Doll; Volkmar Falk; Friedrich W Mohr Journal: Ann Thorac Surg Date: 2004-04 Impact factor: 4.330