Key result
Cardiac surgery in end-stage renal disease patients resulted in an in-hospital mortality rate of 15.8% and an 84.2% survival rate at a median follow-up of 16 months.
Observational (n=19)
No
Cardiac surgery in patients with end-stage renal disease carries a high in-hospital mortality (15.8%), but survivors show acceptable mid-term survival (84.2% at 16 months) when managed with careful perioperative dialysis and ultrafiltration strategies.
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High perioperative mortality urges individualized decisions in ESRD; cohort data leave open optimal strategies for prospective trials.
Introduction: Chronic kidney disease is associated with signifi cant cardiovascular morbidity and mortality. Cardiac surgery in patients undergoing dialysis is still challenging due to increased perioperative complication rates and mortality. The aim of this study is to document the outcomes of cardiac surgery in end stage renal disease patients and analyze the impact of perioperative management strategies.
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Durukan et al. (2013) conducted an observational in End-stage renal disease undergoing cardiac surgery (n=19). Cardiac surgery with perioperative management was evaluated on In-hospital mortality. Cardiac surgery in end-stage renal disease patients resulted in an in-hospital mortality rate of 15.8% and an 84.2% survival rate at a median follow-up of 16 months.
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