Heart, lung & circulation
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Heart, lung & circulation · Jan 2015
Review Meta Analysis Comparative StudyDoes off-pump coronary artery bypass confer any advantage in patients with end-stage renal failure? A systematic review and meta-analysis.
Patients with end-stage renal disease (ESRD) are often excluded from trials comparing off and on-pump coronary artery bypass grafting (CABG). Thus data in this cohort is limited to small retrospective studies. Hence we compared the adverse clinical events and outcome in patients with ESRD undergoing off (OPCABG) and on-pump surgery (ONCABG). ⋯ Patients with end-stage renal disease undergoing coronary artery bypass grafting demonstrate comparable results irrespective of method. While available data is limited to retrospective studies, we failed to demonstrate any significant advantage for performing OPCABG in this group of patients.