A risk assessment score for patients with end-stage renal failure undergoing cardiac surgery

2006 ◽  
Vol 54 (S 1) ◽  
Author(s):  
T Krabatsch ◽  
M Bechtel ◽  
C Detter ◽  
T Fischlein ◽  
FC Riess ◽  
...  
2003 ◽  
Vol 42 (5) ◽  
pp. 1105-1106
Author(s):  
Joachim Sirch ◽  
Michael Weyand ◽  
Steffen Pfeiffer

2013 ◽  
Vol 66 (1-2) ◽  
pp. 64-69 ◽  
Author(s):  
Dragana Unic-Stojanovic ◽  
Miroslav Milicic ◽  
Petar Vukovic ◽  
Srdjan Babic ◽  
Miomir Jovic

Introduction. Patients on dialysis for end-stage renal failure are subjected to cardiac surgery with increasing frequency. End-stage renal failure is known to be an important risk factor for complications of cardiac operations performed with cardiopulmonary bypass. The aim of this study was to determine the impact of preoperative clinical status and operative variables on perioperative morbidity and mortality in hemodialysis dependent patients subjected to a cardiac surgery. Material and Methods. The following operative variables were examined: urgency, type and duration of surgery and duration of extracorporeal circulation. The study is a retrospective analysis of consecutive patients with end-stage renal failure dependent on maintenance hemodialysis who underwent cardiac surgery during four years. Results. The study included 46 patients. Operations performed included isolated coronary artery bypass grafting (CABG, n = 24), valve surgery alone (n = 6), and combined valve surgery or coronary artery bypass grafting and valve surgery (n = 16). The perioperative mortality rate was 13% with four fatal outcomes in patients who had undergone combined cardiac surgery. We found age > 70 years, preoperative New York Heart Association class IV, preoperative anemia, combined surgery and emergent surgery to be associated with a higher relative risk for perioperative death. Conclusion. Patients on dialysis have an increased morbidity and mortality following cardiac surgery; however, we believe that end-stage renal failure should not be regarded as a contraindication to cardiac surgery or cardiopulmonary bypass.


1988 ◽  
Vol 21 (6) ◽  
pp. 545-549
Author(s):  
Satoshi Teraoka ◽  
Shinji Naganuma ◽  
Yuri Sasaki ◽  
Mariko Kato ◽  
Kazuo Kubo ◽  
...  

2012 ◽  
Vol 27 (5) ◽  
pp. 488-495 ◽  
Author(s):  
Antoine G. Schneider ◽  
Glenn M. Eastwood ◽  
Siven Seevanayagam ◽  
Georges Matalanis ◽  
Rinaldo Bellomo

2002 ◽  
Vol 74 (2) ◽  
pp. 378-383 ◽  
Author(s):  
Alfonso Penta de Peppo ◽  
Paolo Nardi ◽  
Ruggero De Paulis ◽  
Antonio Pellegrino ◽  
Stefano Forlani ◽  
...  

2000 ◽  
Vol 15 (12) ◽  
pp. H2-H2
Author(s):  
IS Mertasudira ◽  
JR Saketi ◽  
A. Djumhana ◽  
J. Widjojo ◽  
SA Abdurachman

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