title: Prognosis after off-pump coronary artery bypass in patients receiving hemodialysis.
abstract: OBJECTIVE
  This study was performed to evaluate the perioperative and long-term results of off-pump coronary artery bypass grafting (OPCAB) in hemodialysis (HD)-dependent patients.
  
  
  METHODS
  We retrospectively analyzed the results of isolated OPCAB performed at Tokyo Women's University Medical Center East from February 27, 2000, to May 12, 2006. Perioperative data for patients receiving HD (group HD, n=39) were compared with data from patients not receiving HD (group noHD, n=60). The long-term results of group HD also were examined.
  
  
  RESULTS
  Group HD consisted of 34 males and 5 females with a mean age of 63.2+/-10.2 years. The percentage of patients in group HD with complete all-arterial revascularization was significantly lower than in group noHD. However, the mortality rate, number of distal anastomoses, operative time, intensive care unit (ICU) stay, hospital stay, bleeding during surgery, blood transfusions, intubation time, intra-aortic balloon pumping use, and emergency ratio were similar in the two groups. During a mean follow-up of 27.0+/-13.7 months, the actuarial 1-and 5-year survival rates of group HD were 80% and 70%, respectively.
  
  
  CONCLUSIONS
  In patients receiving HD, OPCAB is safe and improves survival.
authors.affiliation: Department of Cardiovascular Surgery, Tokyo Women's Medical University, Tokyo, Japan.
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Murai
authors.forename: Koujirou
authors.initials: K
authors.lastname: Kodera
authors.forename: Akifumi
authors.initials: A
authors.lastname: Sasaki
authors.forename: Ryouta
authors.initials: R
authors.lastname: Asano
authors.forename: Go
authors.initials: G
authors.lastname: Kataoka
authors.forename: Masahiro
authors.initials: M
authors.lastname: Ikeda
authors.forename: Akiko
authors.initials: A
authors.lastname: Yamaguchi
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Sone
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Takeuchi
mesh_terms: D000368:Aged; D015897:Comorbidity; D047549:Coronary Artery Bypass, Off-Pump; D003324:Coronary Artery Disease / Q000453:epidemiology / Q000601:surgery; D003327:Coronary Disease / Q000453:epidemiology* / Q000601:surgery*; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000453:epidemiology* / Q000401:mortality / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D006435:Renal Dialysis; D012189:Retrospective Studies