| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1994;57:691-696
© 1994 The Society of Thoracic Surgeons
Departments of Cardiac Surgery and Cardiology, Baptist Medical Center-Princeton, Birmingham, Alabama USA
Accepted for publication June 21, 1993.
* Address reprint requests to Dr Kaul, Department of Cardiac Surgery, Baptist Medical Center-Princeton, 817 Princeton Ave, SW, Suite 300, Birmingham, AL 35211.
Factors influencing the survival of 35 consecutive patients in end-stage renal disease who required 40 open heart surgical procedures over the past 8 years were studied. The mean age in these patients was 57.7 ± 3 years (range, 32 to 77 years); 74.3% of the patients were male; and the average duration of hemodialysis was 3.6 ± 0.6 years. Twenty-nine myocardial procedures (20 of 29 for unstable angina), six valve replacements, and five combined procedures were performed. The actuarial survivals at 1 and 3 months, and at 1,5, and 8 years were 90%, 85%, 76%, 55%, and 43%, respectively. Based on the results of univariate analysis, the most significant predictor of both early and late mortality was New York Heart Association (NYHA) class IV congestive heart failure. The 5-year survival in the patients 60 years and older was less favorable than that in patients younger than 60 years (45% versus 63%) (p < 0.05). The 5-year survival in the patients in NYHA class IV was only 27%, as compared to 63% in the patients in class II or III (p < 0.001). All survivors have remained free of angina and 19 of the 21 survivors showed an improvement in their NYHA class. Four patients under 40 years of age have subsequently been able to undergo renal transplantation. Overall, these results justify proceeding with an open heart surgical procedure in dialysis patients, when needed, but before the onset of congestive heart failure.
This article has been cited by other articles:
|
|
 |
|
  L. R. Sajja, G. Mannam, R. M. Chakravarthi, J. Guttikonda, S. Sompalli, and J. Bloomstone Impact of Preoperative Renal Dysfunction on Outcomes of Off-Pump Coronary Artery Bypass Grafting Ann. Thorac. Surg., December 1, 2011; 92(6): 2161 - 2167. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. S. Hillis, B. L. Croal, K. G. Buchan, H. El-Shafei, G. Gibson, R. R. Jeffrey, C. G.M. Millar, G. J. Prescott, and B. H. Cuthbertson Renal Function and Outcome From Coronary Artery Bypass Grafting: Impact on Mortality After a 2.3-Year Follow-Up Circulation, February 28, 2006; 113(8): 1056 - 1062. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. M. Dewey, M. A. Herbert, S. L. Prince, C. L. Robbins, C. M. Worley, M. J. Magee, and M. J. Mack Does Coronary Artery Bypass Graft Surgery Improve Survival Among Patients With End-Stage Renal Disease? Ann. Thorac. Surg., February 1, 2006; 81(2): 591 - 598. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. D. Trachiotis, D. Hanumara, L. McKenna, P. Corso, and A. Pfister Surgical revascularization after acute myocardial infarction in patients with end-stage renal disease Eur J Cardiothorac Surg, October 1, 2004; 26(4): 671 - 675. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
I. Durmaz, T. Yagdi, T. Calkavur, R. Mahmudov, A. Z. Apaydin, H. Posacioglu, Y. Atay, and C. Engin Prophylactic dialysis in patients with renal dysfunction undergoing on-pump coronary artery bypass surgery Ann. Thorac. Surg., March 1, 2003; 75(3): 859 - 864. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Nakayama, R. Sakata, M. Ura, and T. Itoh Long-term results of coronary artery bypass grafting in patients with renal insufficiency Ann. Thorac. Surg., February 1, 2003; 75(2): 496 - 500. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Ayerdi, L. N. Sampson, N. Deshmukh, A. Farid, and S. K. Gupta Carotid Endarterectomy in Patients with Renal Insufficiency: Should Selection Criteria be Different in Patients with Renal Insufficiency? Vascular and Endovascular Surgery, November 1, 2001; 35(6): 429 - 435. [Abstract] [PDF]
|
|
|
|
 |
|
 E. Prifti, M. Bonacchi, M. Leacche, G. Frati, G. Giunti, P. Proietti, A. M. Cricco, G. Brancaccio, B. Furci, A. Baboci, et al. Myocardial Revascularization in Chronic Renal Failure: 10-year Experience Asian Cardiovasc Thorac Ann, September 1, 2001; 9(3): 176 - 181. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Hirose, A. Amano, A. Takahashi, and N. Nagano Coronary artery bypass grafting for patients with non-dialysis-dependent renal dysfunction (serum creatinine greater double equals2.0 mg/dl) Eur J Cardiothorac Surg, September 1, 2001; 20(3): 565 - 572. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Y. Liu, N. J. O. Birkmeyer, J. H. Sanders, J. R. Morton, H. F. Henriques, S. J. Lahey, R. W. Dow, C. Maloney, A. W. DiScipio, R. Clough, et al. Risks of Morbidity and Mortality in Dialysis Patients Undergoing Coronary Artery Bypass Surgery Circulation, December 12, 2000; 102(24): 2973 - 2977. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. L. Franga, J. M. Kratz, A. J. Crumbley, J. L. Zellner, M. R. Stroud, and F. A. Crawford Early and long-term results of coronary artery bypass grafting in dialysis patients Ann. Thorac. Surg., September 1, 2000; 70(3): 813 - 818. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. J. Kaplon, D. M. Cosgrove III, A. M. Gillinov, B. W. Lytle, E. H. Blackstone, and N. G. Smedira Cardiac valve replacement in patients on dialysis: influence of prosthesis on survival Ann. Thorac. Surg., August 1, 2000; 70(2): 438 - 441. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Stewart, A. G. Jardine, and J. D. Briggs Ischaemic heart disease following renal transplantation Nephrol. Dial. Transplant., February 1, 2000; 15(2): 269 - 277. [Full Text] [PDF]
|
|
|
|
|
|
M. Horst, U. Mehlhorn, S. P. Hoerstrup, M. Suedkamp, and E. Rainer de Vivie Cardiac surgery in patients with end-stage renal disease: 10-year experience Ann. Thorac. Surg., January 1, 2000; 69(1): 96 - 101. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Nakayama, R. Sakata, M. Ura, and T.-A. Miyamoto Coronary artery bypass grafting in dialysis patients Ann. Thorac. Surg., October 1, 1999; 68(4): 1257 - 1261. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Ura, R. Sakata, Y. Nakayama, and H. Fukui Bileaflet mechanical valve (St. Jude Medical valve) replacement in long-term dialysis patients Ann. Thorac. Surg., September 1, 1999; 68(3): 870 - 873. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Frenken and A. Krian Cardiovascular operations in patients with dialysis-dependent renal failure Ann. Thorac. Surg., September 1, 1999; 68(3): 887 - 893. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 I. Durmaz, S. Buket, Y. Atay, T. Yagdi, M. Ozbaran, M. Boga, I. Alat, A. Guzelant, and S. Basarir CARDIAC SURGERY WITH CARDIOPULMONARY BYPASS IN PATIENTS WITH CHRONIC RENAL FAILURE J. Thorac. Cardiovasc. Surg., August 1, 1999; 118(2): 306 - 315. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Labrousse, C. de Vincentiis, F. Madonna, C. Deville, X. Roques, and E. Baudet Early and long term results of coronary artery bypass grafts in patients with dialysis dependant renal failure Eur J Cardiothorac Surg, May 1, 1999; 15(5): 691 - 696. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Castelli, A. Condemi, and M. Munari Immediate and long-term results of coronary revascularization in patients undergoing chronic hemodialysis Eur J Cardiothorac Surg, January 1, 1999; 15(1): 51 - 54. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. C. Lucke, R. N. Samy, B. Z. Atkins, S. C. Silvestry, J. M. Douglas Jr, S. J. Schwab, W. G. Wolfe, and D. D. Glower Results of Valve Replacement With Mechanical and Biological Prostheses in Chronic Renal Dialysis Patients Ann. Thorac. Surg., July 1, 1997; 64(1): 129 - 132. [Abstract] [Full Text]
|
|
|
|
|
|
T. Koyanagi, H. Nishida, M. Kitamura, M. Endo, H. Koyanagi, M. Kawaguchi, N. Magosaki, T. Sumiyoshi, and S. Hosoda Comparison of Clinical Outcomes of Coronary Artery Bypass Grafting and Percutaneous Transluminal Coronary Angioplasty in Renal Dialysis Patients Ann. Thorac. Surg., June 1, 1996; 61(6): 1793 - 1796. [Abstract] [Full Text]
|
|
|
|
|
|
C. H. Owen, R. G. Cummings, T. L. Sell, S. J. Schwab, R. H. Jones, and D. D. Glower Coronary artery bypass grafting in patients with dialysis-dependent renal failure Ann. Thorac. Surg., December 1, 1994; 58(6): 1729 - 1733. [Abstract] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
