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April 1, 1980Annals of Internal Medicine

Coronary-Artery Surgery in Patients with End-Stage Renal Disease

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Why the study?

Does coronary-artery bypass surgery improve symptoms in patients with end-stage renal failure and severe ischemic heart disease?

Population

15 patients with end-stage renal failure and clinical evidence of severe ischemic heart disease.

Design

Case_series

Authors

GFGary S. FrancisBSBim SharmaACAllan J. Collins

Discussion

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Overview

Suggests CABG may relieve angina in ESRD with IHD despite mortality risk; leaves open confirmation in controlled trials.

Structured PICO

Does coronary-artery bypass surgery improve symptoms in patients with end-stage renal failure and severe ischemic heart disease?

P
Population
15 patients with end-stage renal failure and clinical evidence of severe ischemic heart disease.
I
Intervention
Coronary arteriography followed by coronary-artery bypass grafts (CABG) in 10 patients (2 with concurrent mitral-valve replacement), with peri-procedural dialysis.
O
Outcome
Surgical mortality, relief of angina, and improvement in level of activity.hard clinical

CABG can be performed with acceptable risk in patients with end-stage renal disease and severe ischemic heart disease, providing significant symptomatic relief when managed with peri-procedural dialysis.

Cite This Study

Francis et al. (1980) studied this question.

synapsesocial.com/papers/6a199d07407564563bf651f2https://doi.org/10.7326/0003-4819-92-4-499
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Also Consider

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  1. 1The first decade of aortocoronary bypass grafting, 1967-1977. A review.1978 · 202 citations
  2. 2Measurement of Left Ventricular Volumes in Man by Single-plane Cineangiocardiography1969 · 260 citations
  3. 3Angina During Hemodialysis1975 · 31 citations
  4. 4Coronary Artery Bypass Surgery in a Patient Receiving Hemodialysis1977 · 21 citations
  5. 5Aortocoronary Vein Graft Surgery in a Cadaver Kidney Transplant Recipient1975 · 29 citations