[Cardiosurgical therapy of coronary heart disease in terminal kidney insufficiency].
OBJECTIVE
To determine retrospectively the complications and long-term results of aortocoronary bypass grafting in patients with end-stage renal disease.


METHODS
65 patients with coronary heart disease (CHD) and on dialysis (54 men, 11 women; average age 56.9 +/- 8.1 years) underwent aortocoronary bypass grafting between 1982 and 1992. Mean duration of dialysis (haemo- or peritoneal) was 41.1 +/- 45.0 (1-215) months. All patients had had haemofiltration treatment in conjunction with the bypass operation.


RESULTS
Coronary angiography demonstrated triple-vessel disease in 40 patients (62%). Average number of bypasses was 2.8 per patient. Perioperative death rate was 4.6%. 95% of survivors were free of symptoms 6 months postoperatively. Long-term survival rate was 71% after 3 years and 55% after 5 years.


CONCLUSIONS
Aortocoronary bypass grafting for CHD in patients with end-stage renal disease can be performed with a low perioperative mortality rate and significantly improves symptoms.
Ivens
K
K
Klinik für Nephrologie und Rheumatologie, Universität Düsseldorf.
Heering
P
P
Leschke
M
M
Strauer
B
B
Klein
M
M
Schulte
H D
HD
Grabensee
B
B
D000328:Adult; D000368:Aged; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000401:mortality; D003327:Coronary Disease / Q000150:complications / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D005260:Female; D006440:Hemofiltration; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000401:mortality / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory; D011183:Postoperative Complications; D006435:Renal Dialysis; D012189:Retrospective Studies; D012307:Risk Factors; D015996:Survival Rate
Kardiochirurgische Therapie der koronaren Herzkrankheit bei terminaler Niereninsuffizienz.