Acute renal failure in coronary artery bypass surgery: independent effect of cardiopulmonary bypass

Stallwood, Mark I; Grayson, Antony D.; Mills, Keith; Scawn, N. D. A.

doi:10.1016/j.athoracsur.2003.09.063

Cited by 143 publications

(118 citation statements)

References 19 publications

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“…In the current study, peripheral vascular disease was a preoperative risk factor strongly associated with the development of ARF, which was also recently reported by Stallwood et al [25] as well as other authors. This also occurred in relation to previous CABG and angina indicating that the "atherosclerotic condition" of these patients may predispose them to an acute worsening of the renal function after surgery.…”

Section: Discussionsupporting

confidence: 72%

Fatores de risco pré-operatórios para o desenvolvimento de Insuficiência Renal Aguda em cirurgia cardíaca

Kochi¹,

Martins²,

Balbi³

et al. 2007

Rev Bras Cir Cardiovasc

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Section: Discussionsupporting

confidence: 72%

Fatores de risco pré-operatórios para o desenvolvimento de Insuficiência Renal Aguda em cirurgia cardíaca

Kochi¹,

Martins²,

Balbi³

et al. 2007

Rev Bras Cir Cardiovasc

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“…No se ha demostrado un beneficio en la mortalidad en pacientes de bajo riesgo, pero existirían beneficios del uso de esta técnica en algunos grupos, tales como aquellos con alto riesgo de ac-cidentes neurológicos, portadores de enfermedad ateroesclerótica severa de la aorta, insuficiencia renal, enfermedad pulmonar crónica, edad avanzada y enfermedad vascular periférica 8,[18][19][20][21] .…”

Section: Discussionunclassified

Resultados inmediatos y a mediano plazo de la cirugía coronaria sin circulación extracorpórea: Experience in 220 patients

González

Stockins

et al. 2013

Rev. méd. Chile

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“…Occurrence of acute renal failure ranges from 1 to 30% depending on the population studied and the definitions used [17,18]. Pulmonary impairment after cardiac surgery is multifactorial.…”

Section: Discussionmentioning

confidence: 99%

Beating Heart versus Conventional Coronary Bypass Surgery: Our Experience

Kaushish

Unni

Luthra

2010

Medical Journal Armed Forces India

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Background: Off-pump Coronary Artery Bypass (OPCAB) has become the standard surgical treatment of Coronary Artery Disease in most centres in India. It is clear from the current evidence that, in certain patients, OPCAB olTers advantages over conventional Coronary Artery Bypass Grafting (CABG). Experience of this procedure in the Armed Forces is highligbted. Methods: Retrospective analysis of 200 nonrandomized consecutive patients taken up for OPCAB and 200 conventional CABG between Jan 2005 and Dec 2007 was done. The European system for cardiac operative risk evaluation (euroSCORE) was used in all patients. Perioperative morbidity and mortality was compared in the two groups. Result: OPCAB was possible in 192 (96 %) out of200 patients taken up for this procedure. Eigbt patients required cardiopulmonary bypass (CPB) to complete the revascularization. Incidence ofreoperation for bleeding was 2.5% in OPCAB and 6% in CABG In the CABG group 2 % patients developed severe bleeding complications, 3 % required ventilation for more than 24 hour, 1 % required renal replacement therapy, 1 % had acute respiratory distress syndrome and 3.5 % had neuro-psychiatric manifestations. Incidence of these complications in OPCAB patients was lower or NIL. Overall mortality in the OPCAB group was 1.5 % and 2 % in the CABG group. However only one patient out of 192 (0.5 %) who underwent successful OPCAB died, while two patients out of eigbt who required conversion to CPB in this group died. Incidence of stroke, deep sternal infection and mortality was similar in both groups. Conclusion: OPCAB is safe, effective and can be offered to more than 90 % patients as the primary strategy for surgical myocardial revascularization. It has lower overall morbidity than conventional CABG Its main limitations are hemodynamic instability and inability to lind a deeply embedded target vessel. Both these factors offect the outcome adversely making conventional CABG a better option in these situations. MJAFI 2010; 66 : 357-361

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Acute renal failure in coronary artery bypass surgery: independent effect of cardiopulmonary bypass

Cited by 143 publications

References 19 publications

Fatores de risco pré-operatórios para o desenvolvimento de Insuficiência Renal Aguda em cirurgia cardíaca

Fatores de risco pré-operatórios para o desenvolvimento de Insuficiência Renal Aguda em cirurgia cardíaca

Resultados inmediatos y a mediano plazo de la cirugía coronaria sin circulación extracorpórea: Experience in 220 patients

Beating Heart versus Conventional Coronary Bypass Surgery: Our Experience

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