Myocardial revascularization in dyalitic patients: in-hospital period evaluation.

Abstract

BACKGROUND:

Coronary artery bypass grafting currently is the best treatment for dialytic patients with multivessel coronary disease, but hospital morbidity and mortality related to procedure is still high.

OBJECTIVE:

Evaluate results and in-hospital outcomes of coronary artery bypass grafting in dialytic patients.

METHODS:

Retrospective unicentric study including 50 consecutive and not selected dialytic patients, who underwent coronary artery bypass grafting in a tertiary university hospital from 2007 to 2012.

RESULTS:

High prevalence of cardiovascular risk factors was observed (100% hypertensive, 68% diabetic and 40% dyslipidemic). There was no intra-operative death and 60% of the procedures were performed off-pump. There were seven (14%) in-hospital deaths. Postoperative infection, previous heart failure, cardiopulmonary bypass, abnormal ventricular function and surgical re-exploration were associated with increased mortality.

CONCLUSION:

Coronary artery bypass grafting is feasible to dialytic patients although high in-hospital morbidity and mortality. It is necessary better understanding about metabolic aspects to plan adequate interventions.

• Authors: Matheus Miranda, Nelson Américo Hossne Jr, João Nelson Rodrigues Branco, Guilherme Flora Vargas, José Honório de Almeida Palma da Fonseca, José Osmar Medina de Abreu Pestana, Yara Juliano, Enio Buffolo
• Journal: Arquivos brasileiros de cardiologia (Arq Bras Cardiol) Vol. 102 Issue 2 Pg. 128-33 (Feb 2014) ISSN: 1678-4170 [Electronic] Brazil
• PMID: 24270865 (Publication Type: Evaluation Study, Journal Article)

Topics

• Coronary Artery Bypass (adverse effects)
• Coronary Artery Disease (mortality, surgery)
• Female
• Hospital Mortality
• Hospitalization
• Hospitals, University (statistics & numerical data)
• Humans
• Intraoperative Complications
• Kidney Failure, Chronic (mortality, surgery)
• Male
• Middle Aged
• Postoperative Complications
• Renal Dialysis (adverse effects)
• Retrospective Studies
• Risk Factors
• Tertiary Care Centers (statistics & numerical data)
• Time Factors