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Myocardial Revascularization in Dyalitic Patients: In-Hospital Period Evaluation

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 dia...

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Detalles Bibliográficos
Autores principales: Miranda, Matheus, Hossne, Nelson Américo, Branco, João Nelson Rodrigues, Vargas, Guilherme Flora, da Fonseca, José Honório de Almeida Palma, Pestana, José Osmar Medina de Abreu, Juliano, Yara, Buffolo, Enio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Cardiologia 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3987338/
https://www.ncbi.nlm.nih.gov/pubmed/24270865
http://dx.doi.org/10.5935/abc.20130231
Descripción
Sumario: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.