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Condition: Renal Failure
Procedure: Coronary Artery Bypass Graft

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Total 272 results found since Jan 2013.

Gender Differences in Failure-to-Rescue After Coronary Artery Bypass Grafting
CONCLUSIONS: Women who underwent isolated, non-emergent CABG had statistically similar frequencies of FTR compared to their male counterparts despite experiencing greater rates of morbidity and mortality. Further efforts to narrow the gender outcome gap after CABG should focus on preoperative and intraoperative phases of care instead of postoperative management.PMID:34774815 | DOI:10.1016/j.athoracsur.2021.09.070
Source: The Annals of Thoracic Surgery - November 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: William W Qu Jane W Wei Jose N Binongo William B Keeling Source Type: research

Efficacy of a glucagon-like peptide-1 agonist and restrictive versus liberal oxygen supply in patients undergoing coronary artery bypass grafting or aortic valve replacement: study protocol for a 2-by-2 factorial designed, randomised clinical trial
The objective of this study is to determine the efficacy of the GLP-1-analogue exenatide versus placebo and restrictive oxygenation (50% fractional inspired oxygen, FiO2) versus liberal oxygenation (100% FiO2) in patients undergoing open heart surgery. Methods and analysis A randomised, placebo-controlled, double blind (for the exenatide intervention)/single blind (for the oxygenation strategy), 2x2 factorial designed single-centre trial on adult patients undergoing elective or subacute CABG and/or surgical AVR. Patients will be randomised in a 1:1 and 1:1 ratio to a 6-hour and 15 min infusion of 17.4 µg of exenatid...
Source: BMJ Open - November 5, 2021 Category: General Medicine Authors: Wiberg, S., Kjaergaard, J., Mogelvang, R., Moller, C. H., Kandler, K., Ravn, H., Hassager, C., Kober, L., Nilsson, J. C. Tags: Open access, Surgery Source Type: research

Commentary: Earlier warning for pulmonary complications: It's never too soon to take action
In 2016, Edwards and colleagues1 published an illuminating report on failure to rescue in more than 600,000 patients in the Society of Thoracic Surgeons National Database who had undergone coronary artery bypass grafting. Analyzing major complications (ie, stroke, reoperation, renal failure, and prolonged ventilation), the authors found that any 1 of those complications was reasonably tolerated, with a 5% mortality rate; however, having 2 complications increased mortality to 20% to 30%. Moreover, differences in postcomplication mortality were not explained by any complication's frequency; rather, higher rates of failure to...
Source: The Journal of Thoracic and Cardiovascular Surgery - September 28, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Arsalan Amin, Subhasis Chatterjee Tags: Commentary Source Type: research

Beating-heart on-pump coronary artery bypass grafting < em > vs. < /em > off-pump coronary artery bypass grafting: a systematic review and meta-analysis
CONCLUSIONS: BH-ONCAB is a safe and comparable alternative to OPCAB in terms of early mortality and late survival. BH-ONCAB may confer particular advantages in preventing incomplete revascularization and allowing more distal anastomoses compared to OPCAB. However, BH-ONCAB was associated with more postoperative complications due to the use of CPB. Future work should focus on larger matched studies and multicenter randomized controlled trials to optimize our surgical revascularization strategies.PMID:34422347 | PMC:PMC8339796 | DOI:10.21037/jtd-21-268
Source: Journal of Thoracic Disease - August 23, 2021 Category: Respiratory Medicine Authors: Yefan Jiang Li Xu Yuqi Liu Bowen Deng Nianguo Dong Si Chen Source Type: research

Predictors of outcome after CABG in the South-Asian community: a propensity matched analysis
CONCLUSION: This study highlights the cumulative risk associated with ethnicity and renal disease in predicting short-term outcomes following CABG. This warrants further investigations in larger populations, thus guiding pre-operative risk-stratification.PMID:34365853 | DOI:10.1177/02676591211037577
Source: Perfusion - August 9, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Mohammad Yousuf Salmasi Ramanish Ravishankar Yusuf Abdullahi Philip Hartley Panagiotis G Kyriazis Thanos Athanasiou Prakash Punjabi Source Type: research

Perioperative safety of simultaneous off-pump coronary artery bypass grafting with non-cardiac surgery of moderate-to-severe severity
Background To evaluate the perioperative safety of simultaneous off-pump coronary artery bypass grafting (OPCABG) with non-cardiac surgery. Methods From September 2013 to January 2019, patients who underwent OPCABG surgery in the Department of Cardiology, Peking University First Hospital were included in this retrospective study. A total of 54 patients who underwent simultaneous surgery were defined as simultaneous surgery group. A total of 108 patients who had recently undergone isolated OPCABG surgery, and had similar vascular reconstruction methods were selected for matching, and these patients were defined a...
Source: Coronary Artery Disease - July 27, 2021 Category: Cardiology Tags: CABG Source Type: research

Failure to Rescue: A New Society of Thoracic Surgeons Quality Metric for Cardiac Surgery
CONCLUSIONS: A new risk-adjusted FTR metric has been developed which complements existing STS performance measures. The metric specifically assesses institutional effectiveness of postoperative care, allowing hospitals to target quality improvement efforts.PMID:34242640 | DOI:10.1016/j.athoracsur.2021.06.025
Source: The Annals of Thoracic Surgery - July 9, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Paul A Kurlansky Sean M O'Brien Christina M Vassileva Kevin W Lobdell Fred H Edwards Jeffrey P Jacobs Moritz Wyler von Ballmoos Gaetano Paone James R Edgerton Vinod H Thourani Anthony P Furnary Victor A Ferraris Joseph C Cleveland Michael E Bowdish Donald Source Type: research