Cardiac Surgery in Chronic Renal Failure - part 1 doc

[...]... in this field A plea is made for a prospective study of PCI vs CABG surgery, in the modern era, in the ESRD population, comparing drug-eluting stents and surgical advances including arterial conduits and possibly “off-pump” CABG surgery Sobiski and Slaughter have written a chapter on cardiopulmonary bypass in patients with chronic renal failure This chapter is replete with technical tips to enhance the... these patients and improve their outcomes These pointers include factors such as limiting the crystalloid prime administered to these patients, while maintaining adequate hemodilution The authors also advocate the routine use of intra-operative ultrafiltration for the removal of free water Sections on electrolyte management, perfusion pressures and intraoperative dialysis complete this thorough discussion... coronary bypass grafting in ESRD patients requiring dialysis They review the somewhat dismal literature in this area, which includes a documentation of higher mortality, stroke and mediastinitis rates in these patients undergoing CABG Despite a higher periprocedural mortality rate associated with CABG, most studies report improved long-term survival after CABG compared to PCI in dialysis patients The... illuminating chapter on percutaneous coronary revascularization in ESRD patients This includes a review of the available literature in this area and elucidates some of the known differences between the ESRD and non-ESRD patient groups The authors also examine the renal transplant population with respect to percutaneous coronary intervention and provides some excellent algorithms for management of CAD in. .. these populations Again, the difficult issues of the making the diagnosis of ischemia in these patients and of screening and risk factor modification are discussed A useful discussion of percutaneous intervention in dialysis and nondialysis dependent ESRD patients, as well as renal transplant patients, is offered and can provide an excellent background for practitioners involved in this field A plea is... problem of the steal phenomenon that occurs when using an internal mammary artery ipsilateral to a functioning arteriovenous fistula The applicability of off pump CABG (OP-CAB) is addressed The editor of this fine volume, Dr Slaughter, contributes a chapter on surgical treatment of valvular heart disease in ESRD patients A discussion of etiology is included There is also a very helpful section on valve... included There is also a very helpful section on valve selection with a careful review of literature An individualized approach is advocated, though, in general, modern tissue valves appear to be the prostheses of choice The pathophysiology and approach to the aortic and mitral valve disease observed in these patients is well presented Dr Slaughter poses . quote brief passages in a review. First published 2007 12 007 ISBN -1 3 : 97 8 -1 -4 05 1- 3 13 2-2 Library of Congress Cataloguing -in- Publication Data Cardiac surgery in chronic renal failure / edited by. class="bi x0 y0 w0 h0" alt="" Cardiac Surgery in Chronic Renal Failure Cardiac Surgery in Chronic Renal Failure Edited by Mark S. Slaughter, MD Director Cardiac Surgery Research Advocate Christ. Slaughter. p.;cm. Includes bibliographical references and index. ISBN 97 8 -1 -4 05 1- 3 13 2-2 (alk. paper) 1. Heart – Surgery – Complications. 2. Heart – Diseases – Complications. 3. Chronic renal failure –