Short-term and medium-term outcomes after off-pump coronary artery bypass grafting in patients with renal functional damage

VernacularTitle:肾功能损害患者行不停跳冠脉搭桥术的短中期预后分析
Author: Jinjin LIU ; Yuefeng WANG ; Yuehua MA ; Mu JIN
Keywords: coronary artery bypass grafting; off pump; creatinine; survival ratio
From: Medical Journal of Chinese People's Liberation Army 2017;42(6):545-548
CountryChina
Language:Chinese
Abstract: Objective To investigate the short- and mid-term outcomes of after off-pump coronary artery bypass grafting (OPCABG) in patients with severe elevation of preoperative serum creatinine levels (SEPSC). Methods The perioperative data of SEPSC patients undergoing OPCABG were investigated based on the perioperative CABG database from Feb. 2012 to Jul. 2016. The patients were also followed up for the perioperative complication, short and medium-term survival were estimated. Results The mean age of the patients was 65.4(45-85) years. The in-hospital mortality was 4.4% and the CRRT rate was 19.6%(9 case). Survival analyses revealed a survival ratio of 100% at one year, 97.6% at two years. Short-Form Mini Nutritional Assessment was used to show that 13(28.3%) patients had malnutrition. Conclusions SEPSC patients can be candidates for OPCABG procedure. The mortality in hospital and 2-year survival rate of SEPSC patients after OPCABG procedure are both considered within an acceptable range. OPCABG may be performed in these patients with a satisfactory survival rate with the development of surgical instruments and medical treatment.