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Condition: Renal Failure
Procedure: Coronary Artery Bypass Graft
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Total 272 results found since Jan 2013.
Comparison of immediate extubation versus ultrafast tracking strategy in the management of off-pump coronary artery bypass surgery.
Conclusion: IE appears to be safe and effective in OPCAB patients without any major complications. It can be achieved after fulfilling traditional extubation criteria but is confined to highly selective group of patients.
PMID: 29652272 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - April 1, 2018 Category: Anesthesiology Authors: Nagre AS, Jambures NP Tags: Ann Card Anaesth Source Type: research
Preoperative renal impairment and off-pump coronary artery bypass grafting: The jury is still out
The superiority of off-pump or on-pump coronary artery bypass grafting (CABG) remains to be demonstrated. Through the years, retrospective and prospective studies have suggested that off-pump CABG is associated with improved outcomes, such as reduced renal injury, reduced bleeding and need for transfusion, and shortened hospital stay. The Randomized On/Off Bypass trial, however, demonstrated that off-pump CABG led to lower 5-year survival and event-free survival than did on-pump CABG.1 The more robust CABG Off or On Pump Revascularization Study, in contrast, showed that the rate of the composite outcome of death, stroke, m...
Source: The Journal of Thoracic and Cardiovascular Surgery - April 7, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Mustafa Zakkar, Gianni D. Angelini Tags: Editorial commentary Source Type: research
Multivessel coronary artery disease and poor left ventricle function: It is consistent and clear, coronary artery bypass grafting wins again
Superiority of coronary artery bypass grafting (CABG) to medical therapy in patients with impaired ventricular function (ie, ejection fraction ≤ 35%) has been shown in clinical trials.1,2 Observational studies have also demonstrated greater survival in patients with an impaired left ventricle undergoing CABG compared with those that are treated with percutaneous coronary intervention (PCI).3,4 Although these studies unanimously demons trated that the incidence of early stroke, renal failure, and other complications were higher in the CABG group, having a better survival rate favors CABG over PCI in the treatment of pa...
Source: The Journal of Thoracic and Cardiovascular Surgery - May 28, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Saina Attaran, William S. Weintraub, Vinod H. Thourani Tags: Editorial commentary Source Type: research
Impact of elevated glycosylated hemoglobin on hospital outcome and 1 year survival of primary isolated coronary artery bypass grafting patients
ConclusionsThis study showed that HbA1c is a good predictor of in-hospital morbidity. It worth devoting time and effort to decrease HbA1c level below 7% to decrease possible postoperative complications.
Source: The Egyptian Heart Journal - July 5, 2018 Category: Cardiology Source Type: research
Effect of a Perioperative Intra-Aortic Balloon Pump in High-Risk Cardiac Surgery Patients: A Randomized Clinical Trial
Conclusions:
In high-risk patients undergoing cardiac surgery, the perioperative use of an intra-aortic balloon pump did not reduce the occurrence of a composite outcome of 30-day mortality and major complications compared with usual care alone.
Source: Critical Care Medicine - July 14, 2018 Category: Emergency Medicine Tags: Online Clinical Investigations Source Type: research
Aortic Valve Reoperation After Stentless Bioprosthesis: Short- and Long-Term Outcomes
ConclusionsAortic valve reoperation after stentless valve implantation can be performed with low operative mortality and favorable long-term survival.
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research
Early outcomes in patients undergoing off-pump coronary artery bypass grafting
ConclusionEarly outcome of off-pump CABG was excellent in this study. Increased incidence of deep sternal wound infection remains a concern. Multicenter study with a larger sample size is required for a dependable evaluation of the efficacy of off-pump CABG in Indian population.
Source: Indian Journal of Thoracic and Cardiovascular Surgery - October 17, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research
Impact of previous percutaneous coronary interventions on the course and clinical outcomes of coronary artery bypass grafting.
CONCLUSIONS: "Stent-loaded" patients undergo more time-consuming CABG with a higher number of grafts. Furthermore, they have higher long-term mortality but similar graft patency and in-hospital mortality/morbidity.
PMID: 29399760 [PubMed - indexed for MEDLINE]
Source: Kardiologia Polska - November 28, 2018 Category: Cardiology Authors: Bugajski P, Greberski K, Kuzemczak M, Kalawski R, Jarząbek R, Siminiak T Tags: Kardiol Pol Source Type: research
Hybrid Coronary Revascularization vs Complete Coronary Artery Bypass Grafting for Multivessel Coronary Artery Disease: A Systematic Review and Meta-Analysis.
CONCLUSIONS: Our results suggest that compared to CABG, HCR is associated with a lower risk of postoperative blood transfusion and infection, as well as a shorter ICU stay and hospital stay. HCR was also associated with a higher risk of long-term TVR.
PMID: 30504516 [PubMed - in process]
Source: The Journal of Invasive Cardiology - December 8, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research
Outcomes after aortic valve replacement for aortic valve stenosis, with or without concomitant coronary artery bypass grafting
ConclusionsConcomitant CABG at the time of AVR was performed without increasing early- or mid-term mortality. This absence of increased risk deserves consideration when choosing between different treatment strategies.
Source: General Thoracic and Cardiovascular Surgery - December 17, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research
Predicting postoperative atrial fibrillation after myocardial revascularization without cardiopulmonary bypass: A retrospective cohort study
ConclusionOff ‐pump coronary artery bypass grafting proved a safe and effective procedure, with low postoperative atrial fibrillation occurrence, for myocardial revascularization. Chronic renal insufficiency and the use of venous‐origin graft solely proved to be independent predictor factors for PAOF.
Source: Journal of Cardiac Surgery - June 17, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Edgar Vidotti,
Lisia F. K. Vidotti,
Camila A. G. Arruda Tavares, Érica D. Z. Ferraz,
Vagner Oliveira,
Augusto G. Andrade,
Janaina M. B. Cardoso,
Márcio H. Cardoso Tags: ORIGINAL ARTICLE Source Type: research
Commentary: Reinventing the wheel: Off- versus on-pump redo coronary artery bypass grafting
The use of off-pump techniques for coronary artery bypass grafting (CABG) peaked in the 1990s but continues to decline. In 2016, only 13% of all CABG surgery were performed off-pump.1 It was originally introduced to avoid the adverse effects of cardiopulmonary bypass and minimize aortic manipulation. However, multiple trials have failed to show a clear advantage for the off-pump CABG. The CABG Off- or On-Pump Revascularization Study (CORONARY) did not show a significant difference in the composite outcome of death, stroke, renal failure, myocardial infarction, and the need for repeat revascularization up to 5 years.
Source: The Journal of Thoracic and Cardiovascular Surgery - May 22, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Tamer Attia, Michael E. Halkos Tags: Commentary Source Type: research
Increased Glucose Variability Is Associated With Major Adverse Events After Coronary Artery Bypass
ConclusionsIncreased 24-hour, but not 12-hour, postoperative GV following CABG is a predictor of poor outcomes. Preoperative HbA1c is not associated with MAEs after adjusting for postoperative mean glucose and GV.Graphical abstract
Source: The Annals of Thoracic Surgery - August 7, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research
Increased Glucose Variability Is Associated With Major Adverse Events After Coronary Artery Bypass.
CONCLUSIONS: Increased 24-hour, but not 12-hour, postoperative GV following CABG is a predictor of poor outcomes. Preoperative HbA1c is not associated with MAEs after adjusting for postoperative mean glucose and GV.
PMID: 31400320 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - August 6, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Clement KC, Suarez-Pierre A, Sebestyen K, Alejo D, DiNatale J, Whitman GJR, Matthew TL, Lawton JS Tags: Ann Thorac Surg Source Type: research
