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Condition: Renal Failure
Procedure: Coronary Artery Bypass Graft

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Total 272 results found since Jan 2013.

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

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

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

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

Routine minimally invasive approach via left anterior mini ‐thoracotomy in multivessel coronary revascularization
ConclusionMinimally invasive multivessel bypass surgery is a surgical method that has just started to become widespread. The fact that the technique is new and more challenging than conventional methods makes it difficult for surgeons to adopt it. In addition, one of the most important issues is that the surgical results should be satisfactory. Our study shows that safe, successful, and satisfactory results can be obtained by using this method, as in our case series. In addition, we think that it can be successfully applied routinely to all patients without distinction.
Source: Journal of Cardiac Surgery - January 21, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Bar ış Çaynak, Hüseyin Sicim Tags: ORIGINAL ARTICLE Source Type: research

Single or Combined Valve Surgery and Concomitant Right Coronary Artery Bypass through Right Anterior Minithoracotomy Approach
Conclusion Presence of RCA lesion is not a contraindication for minimally invasive approach in cases who underwent single or combined valve surgery. Combined valve surgery and right CABG via right anterior minithoracotomy are a safe and feasible option to standard median sternotomy surgery, even if RCA lesions seem suitable for stenting. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text
Source: The Thoracic and Cardiovascular Surgeon - February 8, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Hasde, Ali Ihsan Sar ıcaoğlu, Mehmet Cahit K ılıçkap, Mustafa Durdu, Mustafa Serkan Tags: Original Cardiovascular Source Type: research

Commentary: Who benefits from public reporting of outcomes in coronary surgery?
There are few surgical procedures that have been studied and dissected in as much detail as coronary artery bypass grafting (CABG). CABG remains the gold standard for patients with complex and extensive coronary artery disease and is one of the most commonly performed operations globally. Cardiac surgery is inherently invasive and contains unique and serious risks including death, disabling stroke, myocardial infarctions, and renal failure that are life-altering and life-threatening. In addition, it is clear that outcomes for CABG may vary with geography, institution, within institutions at the surgeon level.
Source: The Journal of Thoracic and Cardiovascular Surgery - February 1, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Derrick Y. Tam, Stephen E. Fremes Tags: Commentary Source Type: research

Incidence, predictors, and outcome for post-operative atrial fibrillation in Indian patients undergoing off-pump coronary artery bypass grafting —a prospective observational study
ConclusionsIn our study, the incidence of POAF was much lower (7.94%) than that reported previously. POAF significantly increased adverse outcomes and length of hospital stay. Both EuroSCORE II and STS scores had similar discriminating power in predicting POAF.
Source: Indian Journal of Thoracic and Cardiovascular Surgery - May 11, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Deep sternal wound infection and mortality in cardiac surgery: A meta-analysis
CONCLUSIONS: When compared to patients who did not develop DSWI, patients with DSWI after cardiac surgery had increased risk of mortality as well as short- and long-term adverse clinical outcomes.PMID:35618048 | DOI:10.1016/j.athoracsur.2022.04.054
Source: The Annals of Thoracic Surgery - May 26, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Roberto Perezgrovas-Olaria Katia Audisio Gianmarco Cancelli Mohamed Rahouma Mudathir Ibrahim Giovanni Soletti David Chadow Michelle Demetres Leonard N Girardi Mario Gaudino Source Type: research