Coronary artery bypass grafting in dialysis patients

被引：0

作者：

Tanaka H. ^{[1
]}

Suzuki K. ^{[1
]}

Narisawa T. ^{[1
]}

Ookura T. ^{[1
]}

Kamio Y. ^{[1
]}

Suzuki S. ^{[1
]}

Kitami A. ^{[1
]}

Suzuki T. ^{[1
]}

Takaba T. ^{[1
,2
]}

机构：

[1] Department of Thoracic and Cardiovascular Surgery, Showa University Fujigaoka Hospital, Yokohama, 227-8501

[2] 1st Department of Surgery, Showa University, Tokyo

来源：

The Japanese Journal of Thoracic and Cardiovascular Surgery | 2000年 / 48卷 / 11期

关键词：

coronary artery bypass grafting; off-pump bypass; hemodialysis; continuous hemofiltration;

D O I：

10.1007/BF03218236

中图分类号：

学科分类号：

摘要：

OBJECTIVE: In dialysis patients, there are two issues to consider, water-electrolyte control and a bypass technique for a calcified aorta. We used continuous hemofiltration for water-electrolyte control and an off-pump bypass with arterial grafting for a calcified aorta. METHODS: We performed coronary artery bypass grafting with extracorporeal circulation in 9 cases and without extracorporeal circulation (off-pump bypass) in 3 cases. In 6 cases, the operation was urgent, and in 6 cases the operation was elective. RESULTS: An average of 3.2 grafts/pt, (the arterial graft: 1.3 grafts/pt) was performed in the pump cases. In the off-pump bypass cases we used arterial grafting only (1.7 grafts/pt). We had 1 early death (sudden death) and 1 hospital death (SLE encephalopathy). One late death due to cerebral bleeding occurred at 2 years later. We used continuous hemofiltration for 2 to 11 days (average 3.9 days) in the pump cases. The off-pump cases could be controlled by conventional hemodialysis. CONCLUSION: Continuous hemofiltration was very easily set up with less interference to the hemodynamics. Using an arterial graft with off-pump bypass, an aortic no-touch technique and water control with conventional hemodialysis were possible.

引用

页码：703 / 707

页数：4

共 50 条

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