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Ann Thorac Surg 2005;80:2153-2154
© 2005 The Society of Thoracic Surgeons


Original article: Cardiovascular

Invited commentary

Mark Stafford-Smith, MD

Duke University Medical Center, Department of Anesthesiology, Box 3094 DUMC, Durham, NC27710

(Email: staff002@mc.duke.edu).

The first 20% of the full text of this article appears below.


    Introduction
 
Less invasive coronary artery bypass surgeries that do not require circulatory support have not had a large impact on the incidence of postoperative acute renal failure requiring dialysis in the general coronary artery bypass surgery population. Although early reports of subtle reductions in renal insult and promising findings from nonrandomized outcome studies hinted at benefit, enough published data now exists, including meta-analyses of randomized trials, to confirm that no meaningful advantage exists. However the problem with this conclusion is that . . . [Full Text of this Article]




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