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Off-pump versus on-pump coronary artery bypass grafting in patient of impaired renal function
- Source :
- Bangabandhu Sheikh Mujib Medical University Journal, Vol 12, Iss 1 (2019)
- Publication Year :
- 2019
- Publisher :
- Bangabandhu Sheikh Mujib Medical University, 2019.
-
Abstract
- The purpose of this study was to compare the renal function in patients undergoing coronary artery bypass grafting in off-pump and on-pump having pre-operative impaired renal function. In the on-pump, the serum creatinine and urea levels were significantly increased on post-operative day 1, 3 and 7. On day 1, it was maximum, then gradually decreased but not reached to pre-operative level. In case of off-pump, serum creatinine and urea levels were significantly increased on post-operative day 1 and 3. On day 1, it was maximum. Then decreased and the serum creatinine reached below pre-operative level on day 7. In case of on-pump, the creatinine clearance rate was significantly decreased on post-operative day 1, 3 and 7. On day 1, it was minimum. Then gradually increased but not reached the pre-operative level. In case off-pump, the creatinine clearance rate was significantly decreased on day 1 and 3. On day 1, it was minimum, then gradually increased and reached above the pre-operative level. A significant low level creatinine clearance rate was observed in on-pump group. Renal function was better preserved in patients undergoing off-pump in comparison to on-pump coronary artery bypass grafting.
- Subjects :
- Bypass grafting
Coronary artery
Off-pump
On-pump
Renal function
Medicine
Subjects
Details
- Language :
- English
- ISSN :
- 20742908 and 22247750
- Volume :
- 12
- Issue :
- 1
- Database :
- Directory of Open Access Journals
- Journal :
- Bangabandhu Sheikh Mujib Medical University Journal
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.8cb7dc8cc1f4c248c58620b7dee3f34
- Document Type :
- article
- Full Text :
- https://doi.org/10.3329/bsmmuj.v12i1.40191