Successful Preservation of Renal function in Off- Pump CABG with pre-existing Renal Dysfunction.-Single centre retrospective analytic study of protective methods.

Dr.Ajita Suhrid Annachhatre; Dr.Nagesh Jambure; Dr.yogesh Belapurkar; Dr.Suhrid Annachhatre

Volume : VII, Issue : I, January - 2018

Successful Preservation of Renal function in Off- Pump CABG with pre-existing Renal Dysfunction.-Single centre retrospective analytic study of protective methods.

Dr. Ajita Suhrid Annachhatre, Dr. Nagesh Jambure, Dr. Yogesh Belapurkar, Dr. Suhrid Annachhatre

Abstract :

Objectives : Our aim is to preserve renal function following OPCAB with pre–existing renal dysfunction.

Methods:– 59 adult patients with pre–existing renal dysfunction i.e. Sr. Cretinine >1.5mg/dl undergoing Off Pump CABG were considered eligible for participation into the statistical analysis. We tested different end points, exchanged Sr. Creatinine concentration with creatinine clearance and added intraoperative variables.

Design : Single centre retrospective observational study.

Result– There was significant reduction in post operative renal failure.Only two patients out of 59 patients required dialysis and succumbed to death.Rest all 57 patients discharged without any morbidity.There was no differences in lengths of stay in the ICU and Hospital .

Conclusion–: The result of this study suggested that patients with pre–existing renal impairment have safe outcome with OPCAB. Aggressive maintainance of urine output by IV fluids,correcting Acid–Base disorder,loop diuretics and ionotropic support to maintain MAP are mainstay of protective methods.