Off-pump versus on-pump coronary artery bypass grafting in patient of impaired renal function
The purpose of this study was to compare the renal function in patients undergoing coronary artery bypass grafting in off-pump and on-pump having pre-operative impaired renal function. In the on-pump, the serum creatinine and urea levels were significantly increased on post-operative day 1, 3 and 7....
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Bangabandhu Sheikh Mujib Medical University
2019-03-01
|
| Series: | Bangabandhu Sheikh Mujib Medical University Journal |
| Subjects: | |
| Online Access: | https://www.banglajol.info/index.php/BSMMUJ/article/view/40191 |
| _version_ | 1811319438136311808 |
|---|---|
| author | Md. Alauddin Aslam Hossain Rezwanul Hoque Asit Baran Adhikary |
| author_facet | Md. Alauddin Aslam Hossain Rezwanul Hoque Asit Baran Adhikary |
| author_sort | Md. Alauddin |
| collection | DOAJ |
| description | The purpose of this study was to compare the renal function in patients undergoing coronary artery bypass grafting in off-pump and on-pump having pre-operative impaired renal function. In the on-pump, the serum creatinine and urea levels were significantly increased on post-operative day 1, 3 and 7. On day 1, it was maximum, then gradually decreased but not reached to pre-operative level. In case of off-pump, serum creatinine and urea levels were significantly increased on post-operative day 1 and 3. On day 1, it was maximum. Then decreased and the serum creatinine reached below pre-operative level on day 7. In case of on-pump, the creatinine clearance rate was significantly decreased on post-operative day 1, 3 and 7. On day 1, it was minimum. Then gradually increased but not reached the pre-operative level. In case off-pump, the creatinine clearance rate was significantly decreased on day 1 and 3. On day 1, it was minimum, then gradually increased and reached above the pre-operative level. A significant low level creatinine clearance rate was observed in on-pump group. Renal function was better preserved in patients undergoing off-pump in comparison to on-pump coronary artery bypass grafting. |
| first_indexed | 2024-04-13T12:42:17Z |
| format | Article |
| id | doaj.art-e8cb7dc8cc1f4c248c58620b7dee3f34 |
| institution | Directory Open Access Journal |
| issn | 2074-2908 2224-7750 |
| language | English |
| last_indexed | 2024-04-13T12:42:17Z |
| publishDate | 2019-03-01 |
| publisher | Bangabandhu Sheikh Mujib Medical University |
| record_format | Article |
| series | Bangabandhu Sheikh Mujib Medical University Journal |
| spelling | doaj.art-e8cb7dc8cc1f4c248c58620b7dee3f342022-12-22T02:46:29ZengBangabandhu Sheikh Mujib Medical UniversityBangabandhu Sheikh Mujib Medical University Journal2074-29082224-77502019-03-0112110.3329/bsmmuj.v12i1.40191Off-pump versus on-pump coronary artery bypass grafting in patient of impaired renal functionMd. Alauddin0Aslam Hossain1Rezwanul Hoque2Asit Baran Adhikary3Department of Cardiac Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, BangladeshDepartment of Cardiac Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, BangladeshDepartment of Cardiac Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, BangladeshDepartment of Cardiac Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, BangladeshThe purpose of this study was to compare the renal function in patients undergoing coronary artery bypass grafting in off-pump and on-pump having pre-operative impaired renal function. In the on-pump, the serum creatinine and urea levels were significantly increased on post-operative day 1, 3 and 7. On day 1, it was maximum, then gradually decreased but not reached to pre-operative level. In case of off-pump, serum creatinine and urea levels were significantly increased on post-operative day 1 and 3. On day 1, it was maximum. Then decreased and the serum creatinine reached below pre-operative level on day 7. In case of on-pump, the creatinine clearance rate was significantly decreased on post-operative day 1, 3 and 7. On day 1, it was minimum. Then gradually increased but not reached the pre-operative level. In case off-pump, the creatinine clearance rate was significantly decreased on day 1 and 3. On day 1, it was minimum, then gradually increased and reached above the pre-operative level. A significant low level creatinine clearance rate was observed in on-pump group. Renal function was better preserved in patients undergoing off-pump in comparison to on-pump coronary artery bypass grafting.https://www.banglajol.info/index.php/BSMMUJ/article/view/40191Bypass graftingCoronary arteryOff-pumpOn-pumpRenal function |
| spellingShingle | Md. Alauddin Aslam Hossain Rezwanul Hoque Asit Baran Adhikary Off-pump versus on-pump coronary artery bypass grafting in patient of impaired renal function Bangabandhu Sheikh Mujib Medical University Journal Bypass grafting Coronary artery Off-pump On-pump Renal function |
| title | Off-pump versus on-pump coronary artery bypass grafting in patient of impaired renal function |
| title_full | Off-pump versus on-pump coronary artery bypass grafting in patient of impaired renal function |
| title_fullStr | Off-pump versus on-pump coronary artery bypass grafting in patient of impaired renal function |
| title_full_unstemmed | Off-pump versus on-pump coronary artery bypass grafting in patient of impaired renal function |
| title_short | Off-pump versus on-pump coronary artery bypass grafting in patient of impaired renal function |
| title_sort | off pump versus on pump coronary artery bypass grafting in patient of impaired renal function |
| topic | Bypass grafting Coronary artery Off-pump On-pump Renal function |
| url | https://www.banglajol.info/index.php/BSMMUJ/article/view/40191 |
| work_keys_str_mv | AT mdalauddin offpumpversusonpumpcoronaryarterybypassgraftinginpatientofimpairedrenalfunction AT aslamhossain offpumpversusonpumpcoronaryarterybypassgraftinginpatientofimpairedrenalfunction AT rezwanulhoque offpumpversusonpumpcoronaryarterybypassgraftinginpatientofimpairedrenalfunction AT asitbaranadhikary offpumpversusonpumpcoronaryarterybypassgraftinginpatientofimpairedrenalfunction |