The heart surgery forum
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The heart surgery forum · Jan 2006
Comparative StudyOutcomes of off-pump versus on-pump coronary artery bypass surgery in end-stage renal disease patients with a history of myocardial infarction.
Patients with end-stage renal disease (ESRD) and myocardial infarction (MI) have poor survival. Coronary artery bypass grafting (CABG) in select patients is an effective treatment strategy; however, whether operative technique influences hospital outcome is not defined. ⋯ Patients with ESRD and an MI have acceptable hospital outcomes regardless of operative strategy. OPCAB or CABG may provide an advantage in certain patients, yet it is the presence of an acute MI that is a predictor of postoperative events.