Coronary Artery Bypass Operation in Dialysis Patients

THOMAS D. BATIUK, STEPHEN B. KURTZ, JAE K. OH, THOMAS A. ORSZULAK

Research output: Contribution to journalArticle

97 Scopus citations

Abstract

To analyze the short- and long-term morbidity and mortality among maintenance dialysis patients who have undergone coronary artery bypass operations, we identified 25 such patients at the Mayo Clinic and three recently published large single-center studies that provided sufficient detail for meaningful comparison. Two independent observers reviewed the new information with regard to pertinent historical, clinical, and laboratory data. The perioperative mortality was 20%. Among the perioperative survivors, 1- and 2-year survival rates were 95% and 77%, respectively. The 3-year actuarial survival was 70%. Uniformly, the symptoms diminished, and the need for antianginal medication was decreased. In the three other large published series, the perioperative mortality ranged from 3 to 20%, and coronary artery bypass performed earlier after the onset of the symptoms seemed to result in a lower perioperative mortality. We conclude that elective coronary artery bypass in dialysis patients is associated with acceptable short-term morbidity and mortality and effective relief of symptoms. Surgically treated patients may have a survival advantage. Thus, we advocate aggressive early investigation and surgical treatment of these patients.

Original languageEnglish (US)
Pages (from-to)45-53
Number of pages9
JournalMayo Clinic proceedings
Volume66
Issue number1
DOIs
StatePublished - Jan 1 1991

ASJC Scopus subject areas

  • Medicine(all)

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