Impact of occult renal disease on the outcomes of off-pump and on-pump coronary artery bypass grafting

Sajja, Lokeswara Rao; Singh, S. K.; Mannam, Gopichand; Guttikonda, Jyothsna; Pusapati, Venkata Ramachandra Raju; Saikiran, Krishnamurthy Venkata Satya Siva

doi:10.1007/s12055-018-0767-3

Cited by 3 publications

(2 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Elevated postoperative levels of serum creatinine had a risk of longer cardiopulmonary bypass. Hemolysis related to longer periods on the cardiopulmonary bypass increases the rate of acute renal affection by the effect of hemoglobinuria [4,11]. This work studies the morbidity and mortality rate in patients who underwent CABG but also had mild to moderate elevation in the preoperative creatinine levels.…”

Section: Albatrek Hmentioning

confidence: 99%

“…The preoperative renal impairment stage associated with increased postoperative complications is still debatable [3]. In nondialysis-dependent renal patients, the 5-year mortality was 50% after CABG, and data about the associated morbidity are scarce [4]. morbidity and mortality after CABG in patients with non-dialysis-dependent mild-to-moderate chronic renal disease.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Coronary artery bypass grafting in non-dialysis dependent chronic renal disease

Albatrek

Ahmed

Yassen

2022

Egypt. Cardiothoracic. Surg.

View full text Add to dashboard Cite

Background: Renal impairment is associated with increased morbidity and mortality after coronary artery bypass grafting (CABG). Therefore, we aimed to study the risk factors of increased morbidity and mortality after CABG in patients with non-dialysis-dependent mild-to-moderate chronic kidney disease. Methods: This prospective study included 50 patients with non-dialysis-dependent renal impairment (renal disease stage II or III) with off-pump (n= 25) or on-pump (n= 25) CABG. Postoperative outcomes and creatinine levels were compared between both groups. Results: The mean age of all patients was 48.4±12.3 years, and females presented 54% (n= 27). There were no differences in postoperative myocardial infarction (P= 0.923), atrial fibrillation (P= 0.776), blood transfusion (P=0.794), and ICU (P=0.772) and hospital stay (P= 0.698) between groups. Mechanical ventilation was longer in patients with on-pump CABG (16.4 ± 10.9 vs. 6.1 ± 3.2 hours; P˂0.001). Creatinine levels were significantly lower in patients who had off-pump CABG (P˂0.001). The cumulative mortality hazard increases to 56.7% in patients with preoperative creatinine levels above 2 mg/dl. Conclusion: High preoperative creatinine levels could increase mortality in patients undergoing CABG. Off-pump CABG could be a better approach in patients with mild to moderate renal dysfunction.

show abstract

Section: Albatrek Hmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%