Premium
Coronary Artery Bypass Grafting in Patients with Dialysis‐Dependent Renal Failure
Author(s) -
Naruse Yoshihiro,
Makuuchi Haruo,
Kobayashi Toshiya,
Hayashi Ichiro,
Tanaka Keita,
Takayama Takehiko,
Namifusa Yusuke
Publication year - 2001
Publication title -
artificial organs
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.684
H-Index - 76
eISSN - 1525-1594
pISSN - 0160-564X
DOI - 10.1046/j.1525-1594.2001.06750.x
Subject(s) - medicine , dialysis , angina , hemodialysis , heart failure , cardiology , bypass grafting , artery , coronary artery disease , surgery , incidence (geometry) , myocardial infarction , physics , optics
This study identified preoperative characteristics of dialysis patients undergoing coronary artery bypass grafting (CABG) and determined the early and long‐term results. We retrospectively analyzed the data of 60 patients (mean age 60.8 ± 7.6 years) with end‐stage renal disease who underwent CABG between 1982 and 1999. Seventeen (28%) patients underwent CABG for unstable angina, and 9 (15%) patients required preoperative intraaortic balloon pumping. The incidence of congestive heart failure (18%) and diseased aorta (42%) was higher in the dialysis group. In‐hospital mortality in the dialysis group was 13% (8/60). The estimated survival rate at 5 and 10 years in the dialysis patients was 55.6 ± 8.8% and 31.8 ± 11.6%, respectively. The cardiac event‐free rate, excluding the in‐hospital mortality, was 62.5 ± 9.9% at 5 years. Although the early and long‐term results of CABG in dialysis patients were inferior to those of nondialysis patients, CABG in dialysis‐dependent patients allows the patients to continue their dialysis therapy and to improve their functional status.