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Coronary artery bypass operation in dialysis patients.
- Source :
-
Mayo Clinic proceedings [Mayo Clin Proc] 1991 Jan; Vol. 66 (1), pp. 45-53. - Publication Year :
- 1991
-
Abstract
- To analyze the short- and long-term morbidity and mortality among maintenance dialysis patients who have undergone coronary artery bypass operations, we identified 25 such patients at the Mayo Clinic and three recently published large single-center studies that provided sufficient detail for meaningful comparison. Two independent observers reviewed the new information with regard to pertinent historical, clinical, and laboratory data. The perioperative mortality was 20%. Among the perioperative survivors, 1- and 2-year survival rates were 95% and 77%, respectively. The 3-year actuarial survival was 70%. Uniformly, the symptoms diminished, and the need for antianginal medication was decreased. In the three other large published series, the perioperative mortality ranged from 3 to 20%, and coronary artery bypass performed earlier after the onset of the symptoms seemed to result in a lower perioperative mortality. We conclude that elective coronary artery bypass in dialysis patients is associated with acceptable short-term morbidity and mortality and effective relief of symptoms. Surgically treated patients may have a survival advantage. Thus, we advocate aggressive early investigation and surgical treatment of these patients.
- Subjects :
- Adult
Aged
Coronary Disease complications
Coronary Disease mortality
Coronary Disease surgery
Female
Humans
Kidney Failure, Chronic complications
Kidney Failure, Chronic mortality
Kidney Failure, Chronic therapy
Male
Middle Aged
Postoperative Complications
Survival Rate
Coronary Artery Bypass mortality
Renal Dialysis
Subjects
Details
- Language :
- English
- ISSN :
- 0025-6196
- Volume :
- 66
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Mayo Clinic proceedings
- Publication Type :
- Academic Journal
- Accession number :
- 1988758
- Full Text :
- https://doi.org/10.1016/s0025-6196(12)61174-4