Coronary artery bypass surgery in renal dysfunction



==ACCF/AHA Guidelines for Smoking Cessation in Patients Undergoing CABG == {{cquote|

Class IIb
1. In patients with preoperative renal dysfunction (creatinine clearance <60 mL/min), off-pump CABG may be reasonable to reduce the risk of acute kidney injury (AKI). (Level of Evidence: B)

2. In patients with preexisting renal dysfunction undergoing on-pump CABG, maintenance of a perioperative hematocrit greater than 19% and mean arterial pressure greater than 60 mm Hg may be reasonable. (Level of Evidence: C)

3. In patients with preexisting renal dysfunction, a delay of surgery after coronary angiography may be reasonable until the effect of radiographic contrast material on renal function is assessed. (Level of Evidence: B)

4. The effectiveness of pharmacological agents to provide renal protection during cardiac surgery is uncertain. (Level of Evidence: B)}}

Guidelines Resources

 * 2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery : A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines