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Ann Thorac Surg 2006;81:1548-1549
© 2006 The Society of Thoracic Surgeons
a Division of Cardiovascular Surgery, St. Vincent Mercy Medical Center, 2213 Cherry St ACC Bldg, Suite 309, Toledo, OH 43608
b Departments of Medicine and Surgery, Medical University of Ohio, 3000 Arlington Ave, Toledo, OH 43614
(Email: robert_habib@mhsnr.org).
| The first 20% of the full text of this article appears below. |
To the Editor:
We read with great interest the article by Dr Weerasinghe and colleagues [1]. The authors main conclusion was that compared with on-pump coronary bypass surgery (ONCAB), off-pump (OPCAB) coronary bypass surgery may reduce the risk of both "minor" and "major" renal adverse outcomes (RAO). Their discussion of the potential mechanisms for these findings was limited to: (1) the potential adverse role of increased complement activation in ONCAB, (2) the renoprotective role of comparatively higher mean arterial pressures with OPCAB, and (3) a potential renoprotective role of pulsatile versus nonpulsatile flow. We wish to make several comments regarding this article.
The Society of Thoracic Surgeons (STS) defines postoperative acute renal failure (ARF) as the coincidence of postoperative creatinine (Cr) > 2 mg/dL and postoperative Cr> 2 times preoperative levels. This approach rightly differentiates between patients with similar postoperative Cr (eg, 2.4 mg/dL) whose baseline renal function
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A. Weerasinghe, T. Athanasiou, and P. P. Tekkis Reply Ann. Thorac. Surg., April 1, 2006; 81(4): 1549 - 1550. [Full Text] [PDF] |
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