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Off‐Pump Coronary Artery Bypass Grafting in Patients with End‐Stage Renal Disease on Hemodialysis
Author(s) -
Tashiro Tadashi,
Nakamura Katsuhiko,
Morishige Noritsugu,
Iwakuma Akio,
Tachikawa Yutaka,
Shibano Ryuichi,
Iwahashi Hidehiko,
Zaitsu Ryuzi,
Hayashida Yoshio,
Koga Satoshi,
Takeuchi Kazuma,
Kimura Michio
Publication year - 2001
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2001.tb01162.x
Subject(s) - medicine , hemodialysis , off pump coronary artery bypass , dialysis , anastomosis , artery , surgery , coronary artery disease , cardiology , end stage renal disease , complication , bypass grafting
A bstract Background : Coronary artery bypass grafting (CABG) for hemodialysis patients is high risk compared with other patient groups. The aim of this study was to analyze the potential benefits of off‐pump CABG for hemodialysis patients. Methods : From April 1994 through December 2000, 26 hemodialysis patients underwent CABG. The off‐pump group consisted of 15 patients operated on without a pump and the on‐pump group consisted of 11 patients operated on with a pump. Results : There was no difference between the two groups with regard to mean age, mean number of diseased vessels and mean number of anastomoses per patient. No patient died in either group during hospitalization. The postoperative complication rate was low in both groups. The postoperative ventilation time was shorter in the off‐pump group (8.5 vs 26.1 hours, p < 0.001, respectively [off‐pump group vs on‐pump group]). The length of ICU stay was shorter in the off‐pump group (1.7 vs 3.5 days, p # 0.01, respectively [off‐pump group vs on‐pump group]). The medial cost was lower in the off‐pump group ($26,200.80 versus $44,024.10 p # 0.0001 respectively [off‐pump group vs on‐pump group]). Conclusions : Off‐pump CABG provided excellent less‐invasive cardiac surgical results for dialysis patients.