Coronary artery bypass in patients with end-stage hemodialysis-dependent renal failure
- VernacularTitle:维持性血液透析患者行冠状动脉搭桥术的临床分析
- Author:
Lingling MA
- Publication Type:Journal Article
- Keywords:
coronary artery bypass grafting;
end-stage hemodialysis-dependent renal failure;
perioperative
- From:
Basic & Clinical Medicine
2006;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety of coronary artery bypass grafting(CABG) on patients with end-stage hemodialysis-dependent renal failure.Method Two patients with hemodialysis who received CABG were reported.The features of clinical manifestation were studied.Results CHDF was preformed in two cases after operation.One patient died of hemorrhage on the third day after operation,the other patient showed relief of recurrent chest pain and improved quality of life after CABG.Conclusion Under a well-prepared dialysis program and meticulous perioperative management,CABG can be performed in dialysis-dependent patients,with increased but acceptable perioperative morbidity and mortality risks.Our initial experiences of CHDF during and after CABG suggest that the technique provides excellent electrolyte,metabolite and fluid management for the cardiac patients with chronic renal failure.
