title: OPCAB in patients on hemodialysis.
abstract: OBJECTIVE
  To analyze the hospital outcomes of patients, with chronic renal insufficiency in the hemodialysis, submitted to OPCAB.
  
  
  METHODS
  Fifty-one patients with chronic renal insufficiency were submitted to OPCAB. Hemodialysis was performed on the day before and the day after the operation. Myocardial revascularization was performed using LIMA's suture and suction stabilization.
  
  
  RESULTS
  Fifty-one patients, with an average of 61.28+/-11.09 years, were analyzed. Thirty patients (58.8%) were female. The predominant functional class was IV in 21 (41.1%) of the patients. The left ventricle ejection fraction was dire in 21 (41.1%) patients. The mean EUROSCORE of this series was 7.65+/-3.83 and the mean number of distal anastomosis was 3.1+/-0.78 per patient. The average time of mechanical ventilation was 3.78+/-4.35 hours and the mean ICU stay was 41.9+/-13.8 hours, while the average hospitalization was 6.5+/-1.31 days. In respect to complications, nine (17.6%) of the patients developed atrial fibrilation, and one (1.9%) patient presented with a case of ischemic stroke but had a good recovery during hospitalization. There were no deaths in this series.
  
  
  CONCLUSIONS
  Chronic renal patients submitted to hemodialysis were always a high risk population for myocardial revascularization. In this series, the absence of extracorporeal circulation appeared to be safe and efficient in this special subgroup of patients. The operations were performed with low indices of complications, absence of deaths and relatively low stays in the ICU and in hospital.
authors.affiliation: Santa Casa de Misericórdia in Curitiba - PUC/PR, Curitiba, PR. rodrigo.milani@sbccv.org.br
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Milani
authors.forename: Paulo Roberto Slud
authors.initials: PR
authors.lastname: Brofman
authors.forename: José Augusto Moutinho de
authors.initials: JA
authors.lastname: Souza
authors.forename: Laura
authors.initials: L
authors.lastname: Barboza
authors.forename: Maximiliano Ricardo
authors.initials: MR
authors.lastname: Guimarães
authors.forename: Alexandre
authors.initials: A
authors.lastname: Barbosa
authors.forename: Alexandre Manoel
authors.initials: AM
authors.lastname: Varela
authors.forename: Marcel Rogers
authors.initials: MR
authors.lastname: Ravagnelli
authors.forename: Francisco Maia da
authors.initials: FM
authors.lastname: Silva
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001938:Brazil / Q000453:epidemiology; D002318:Cardiovascular Diseases / Q000601:surgery*; D047549:Coronary Artery Bypass, Off-Pump / Q000009:adverse effects / Q000401:mortality / Q000592:standards*; D003327:Coronary Disease / Q000209:etiology; D005112:Extracorporeal Circulation; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D051436:Renal Insufficiency, Chronic / Q000150:complications / Q000628:therapy*; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome