Myocardial revascularization in renal transplant patients

Delgado, Daniel de Souza; Gerola, Luís Roberto; Hossne, Nelson Américo; Branco, João Nelson Rodrigues; Buffolo, Ênio

doi:10.1590/s0066-782x2002001400005

Cited by 2 publications

(1 citation statement)

References 21 publications

(32 reference statements)

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“…Considering our consecutive series, 52% of patients had no cardiovascular symptoms, and 92% presented with preserved left ventricular function. It is noteworthy that most patients were referred for CABG after the diagnosis of severe coronary lesions in elective coronary angiography protocol for kidney pre-transplant evaluation; particularly, if we consider that CABG reduces kidney transplant operative risk, and increases the immediate survival of these patients [ 19 ] .…”

Section: Discussionmentioning

confidence: 99%

Cardiopulmonary Bypass Increases the Risk of Vasoplegic Syndrome After Coronary Artery Bypass Grafting in Patients With Dialysis-Dependent Chronic Renal Failure

Hossne¹,

Miranda²,

Monteiro³

et al. 2014

Revista Brasileira De Cirurgia Cardiovascular

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ObjectiveCoronary artery bypass grafting is currently the best treatment for dialysis patients with multivessel coronary artery involvement. Vasoplegic syndrome of inflammatory etiology constitutes an important postoperative complication, with highly negative impact on prognosis. Considering that these patients have an intrinsic inflammatory response exacerbation, our goal was to evaluate the incidence and mortality of vasoplegic syndrome after myocardial revascularization in this group.MethodsA retrospective, single-center study of 50 consecutive and non-selected dialysis patients who underwent myocardial revascularization in a tertiary university hospital, from 2007 to 2012. The patients were divided into 2 groups, according to the use of cardiopulmonary bypass or not (off-pump coronary artery bypass). The incidence and mortality of vasoplegic syndrome were analyzed. The subgroup of vasoplegic patients was studied separately.ResultsThere were no preoperative demographic differences between the cardiopulmonary bypass (n=20) and off-pump coronary artery bypass (n=30) group. Intraoperative data showed a greater number of distal coronary arteries anastomosis (2.8 vs. 1.8, P<0.0001) and higher transfusion rates (65% vs. 23%, P=0.008) in the cardiopulmonary bypass group. Vasoplegia incidence was statistically higher (P=0.0124) in the cardiopulmonary bypass group (30%) compared to the off-pump coronary artery bypass group (3%). Vasoplegia mortality was 50% in the cardiopulmonary bypass group and 0% in the off-pump coronary artery bypass group. The vasoplegic subgroup analysis showed no statistically significant clinical differences.ConclusionCardiopulmonary bypass increased the risk for developing postoperative vasoplegic syndrome after coronary artery bypass grafting in patients with dialysis-dependent chronic renal failure.

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Section: Discussionmentioning

confidence: 99%

Cardiopulmonary Bypass Increases the Risk of Vasoplegic Syndrome After Coronary Artery Bypass Grafting in Patients With Dialysis-Dependent Chronic Renal Failure

Hossne¹,

Miranda²,

Monteiro³

et al. 2014

Revista Brasileira De Cirurgia Cardiovascular

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Myocardial Revascularization in Dyalitic Patients: In-Hospital Period Evaluation

Miranda¹,

Hossne²,

Branco³

et al. 2013

Arquivos Brasileiros De Cardiologia

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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. ObjectiveEvaluate 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. ConclusionCoronary 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.

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Myocardial revascularization in renal transplant patients

Abstract: Objective -To assess the results of surgical myocardial revascularization in renal transplant patients. Methods -

Cited by 2 publications

References 21 publications

Cardiopulmonary Bypass Increases the Risk of Vasoplegic Syndrome After Coronary Artery Bypass Grafting in Patients With Dialysis-Dependent Chronic Renal Failure

Cardiopulmonary Bypass Increases the Risk of Vasoplegic Syndrome After Coronary Artery Bypass Grafting in Patients With Dialysis-Dependent Chronic Renal Failure

Myocardial Revascularization in Dyalitic Patients: In-Hospital Period Evaluation

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