Coronary Artery Bypass Surgery in Patients with End Stage Renal Disease: Overall Outcome in Single Centre Experience

Abstract

Background: Coronary artery bypass surgery and its entire perioperative management is demanding in patients with end stage renal disease (ESRD). Methods: We included data from all patients on hemodialysis who underwent coronary artery bypass grafting (CABG) between November 1st, 2003 and November 1st, 2006 at Sheikh Zayed hospital and Federal postgraduate medical institute, Lahore, Pakistan. Results: During the study period 41 patients with end stage renal disease underwent coronary artery bypass grafting at the Sheikh Zayed hospital and Federal postgraduate medical institute, Lahore. Among these patients, we recorded a perioperative mortality of 19.51%. Six months survival rate was 75.60 % among study group patients. The incidence of peripheral artery disease is reported significantly higher in the dialysis dependent patients. Uremic patients showed significantly lower hemoglobin serum levels (<10mgldl) at the time of admission. These patients received significantly higher numbers of blood transfusions ( ), fresh frozen plasmas (FFP’s) when needed. Conclusion: Our preliminary study indicates that coronary artery bypass surgery can be performed with acceptable midterm results when the specific requirements of this patient group are taken into account.