Olan A, Segall L, Stoica L, Gusbeth-Tatomir P, Cristea C, Patrulea S, Mardare N, Balasanian M, Covic A. [The first case of coronary artery by-pass grafting surgery (CABG) in a patient on maintenance dialysis in Iaşi].
Rev Med Chir Soc Med Nat Iasi 2006;
110:559-63. [PMID:
17571545]
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Abstract
Coronary artery disease has a significantly higher prevalence in chronic dialysis patients compared to the general population, explained by a cluster of non-specific and specific (uremia-associated) cardiovascular risk factors, typical for these patients. Nephrologists and cardiovascular surgeons worldwide are rather reluctant to offer CABG to dialysis patients, because of concerns about higher risks associated with this procedure in this frail population. However, there is an increasing opinion supporting a more aggressive management of coronary artery disease in uremic individuals. To illustrate this "positive attitude", we report here the first dialysis patient ever treated by CABG in Iaşi; his good outcome was both rewarding and encouraging for us all.
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