TELL : +91 0 99 08 87 07 06

 Mcmed International ®: Largest Journal Publication in world

American Journal of Advanced Medical & Surgical Research

Volume 2, Issue 1, 2016
Mcmed International
American Journal of Advanced Medical & Surgical Research
Issn
XXX-XXXX (Print), XXXX-XXXX (Online)
Frequency
bi-annual
Email
editorajamsr@mcmed.us
Journal Home page
Recommend to
A Friend  | A librarian
Purchase
Purchase Issue
Abstract
Title
COMPARISON OF INCIDENCE OF ACUTE KIDNEY INJURY IN ON PUMP V/S OFF PUMP CORONARY ARTERY REVASCULARISATION SURGERY
Author
Ritesh Shah*, Harshil Joshi, Jignesh Kothari, Ramesh Patel, Himani Pandya, Himanshu Acharya
Email
drritesh_shah1@yahoo.co.in
keyword
Myocardial revascularization, Creatinine, OPCAB
Abstract
Off pump coronary artery bypass grafting (OPCAB) is worldwide acceptable as the preformed choice for myocardial revascularization. However, no definite data exist as to whether it is better than conventional coronary artery bypass grafting (CABG). We aimed to compare the incidence of acute kidney injury (AKI) and early outcomes between the conventional CABG and OPCAB. Between November 2014 to April 2015, 40 patients underwent ONCAB (group A) and another 40 patients had been subjected to OPCAB (group B). Analysis of preoperative, perioperative and postoperative courses related to AKI and clinical outcomes were performed. The perioperative data showed longer inotrope duration in ONCAB (46.85 ± 32.90hrs. vs. 26.42 ± 21.47 hrs, P < 0.05) as compared to OPCAB group, respectively. The incidence of pts. who need prolonged mechanical ventilation (>7 h), was also higher in ONCAB as compared to OPCAB group. Rise in serum creatinine as per our definition AKI practice guideline is comparable and non-significant in both the group (group A 6 no of patients vs group B 7 no of patients p =1.000). The choice of operative technique OPCAB versus ONCAB is not associated with reduced renal morbidity. But still OPCAB is more favorable with low ICU and hospital stay.
Download Broucher
Back to Top >>>>