Theme |
Cardiovascular Complications in Chronic Dialysis Patients -- Are They Inevitable? |
Title |
Long term results of coronary artery bypass grafting in chronic dialysis patients |
Author |
Satoshi Saito |
Department of Cardiovascular Surgery, Tokyo Women's Medical University |
Author |
Kenji Yamazaki |
Department of Cardiovascular Surgery, Tokyo Women's Medical University |
Author |
Masahiro Endo |
Department of Cardiovascular Surgery, Tokyo Women's Medical University |
Author |
Hiromi Kurosawa |
Department of Cardiovascular Surgery, Tokyo Women's Medical University |
[ Summary ] |
Cardiovascular disease remains the most frequent cause of death for patients with end-stage renal disease. The characteristics of coronary lesions are severe calcification, diffuse disease and multi-vessel disease. Coronary artery bypass is effective in improving long-term prognosis ; however, complication rates are high. Off-pump CABG improves early mortality rate, however , long term results after CABG were not satisfactory. Co-operative research projects including those with cardiologists, cardiovascular surgeons, nephlologists and basic researchers should be established to further improvements in medical and surgical treatment for coronary artery disease in chronic dialysis patients. |