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Ann Thorac Surg 2007;84:1502-1503. doi:10.1016/j.athoracsur.2007.06.059
© 2007 The Society of Thoracic Surgeons
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Original Articles: Cardiovascular

Invited commentary

Jeremiah R. Brown, PhD

The Dartmouth Institute for Health Policy and Clinical Practice, One Medical Center Dr, Lebanon, NH 03756

(Email: jeremiah.brown@dartmouth.edu).

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

Di Mauro and colleagues [1] investigated the renoprotective effect of off-pump coronary artery bypass surgery compared with on-pump surgery using cardiopulmonary bypass. The authors stratified the analysis into two groups: (A) patients with normal baseline renal function (serum creatinine < 1.5 mg/dL) and (B) patients with abnormal baseline renal function (serum creatinine ≥ 1.5 mg/dL). Their analysis addressed the following question: Does off-pump surgery have a renoprotective effect compared with on-pump surgery with cardiopulmonary bypass support? Propensity score matching was used to balance patients undergoing on-pump and off-pump surgery in both of the analytical strata. The outcomes of the analyses were survival and 30-day acute renal failure, defined as a postoperative serum creatinine of ≥2.0 (mg/dL) if the baseline creatinine was <1.5 mg/dL or . . . [Full Text of this Article]


Related Article

Does Off-Pump Coronary Surgery Reduce Postoperative Acute Renal Failure? The Importance of Preoperative Renal Function
Michele Di Mauro, Massimo Gagliardi, Angela L. Iacò, Marco Contini, Antonio Bivona, Paolo Bosco, Sabina Gallina, and Antonio M. Calafiore
Ann. Thorac. Surg. 2007 84: 1496-1502. [Abstract] [Full Text] [PDF]





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