title: Myocardial revascularization in dyalitic patients: in-hospital period evaluation.
abstract: BACKGROUND
  Coronary artery bypass grafting currently is the best treatment for dialytic patients with multivessel coronary disease, but hospital morbidity and mortality related to procedure is still high.
  
  
  OBJECTIVE
  Evaluate results and in-hospital outcomes of coronary artery bypass grafting in dialytic patients.
  
  
  METHODS
  Retrospective unicentric study including 50 consecutive and not selected dialytic patients, who underwent coronary artery bypass grafting in a tertiary university hospital from 2007 to 2012.
  
  
  RESULTS
  High prevalence of cardiovascular risk factors was observed (100% hypertensive, 68% diabetic and 40% dyslipidemic). There was no intra-operative death and 60% of the procedures were performed off-pump. There were seven (14%) in-hospital deaths. Postoperative infection, previous heart failure, cardiopulmonary bypass, abnormal ventricular function and surgical re-exploration were associated with increased mortality.
  
  
  CONCLUSIONS
  Coronary artery bypass grafting is feasible to dialytic patients although high in-hospital morbidity and mortality. It is necessary better understanding about metabolic aspects to plan adequate interventions.
authors.forename: Matheus
authors.initials: M
authors.lastname: Miranda
authors.forename: Nelson Américo
authors.initials: NA
authors.lastname: Hossne
authors.forename: João Nelson
authors.initials: JN
authors.lastname: Rodrigues Branco
authors.forename: Guilherme Flora
authors.initials: GF
authors.lastname: Vargas
authors.forename: José Honório de
authors.initials: JH
authors.lastname: Almeida Palma da Fonseca
authors.forename: José Osmar
authors.initials: JO
authors.lastname: Medina de Abreu Pestana
authors.forename: Yara
authors.initials: Y
authors.lastname: Juliano
authors.forename: Enio
authors.initials: E
authors.lastname: Buffolo
mesh_terms: D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003324:Coronary Artery Disease / Q000401:mortality* / Q000601:surgery; D005260:Female; D017052:Hospital Mortality; D006760:Hospitalization; D006785:Hospitals, University / Q000706:statistics & numerical data; D006801:Humans; D007431:Intraoperative Complications; D007676:Kidney Failure, Chronic / Q000401:mortality* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D006435:Renal Dialysis / Q000009:adverse effects*; D012189:Retrospective Studies; D012307:Risk Factors; D062606:Tertiary Care Centers / Q000706:statistics & numerical data; D013997:Time Factors