Coronary artery revascularization in hemodialysis patients with multivessel coronary artery disease

SummaryCoronary artery disease (CAD) is a major cause of morbidity and mortality in patients with end-stage renal disease (ESRD). Such a combination poses a considerable technical challenge for revascularization because of multiple comorbidities and higher surgical risk. Here, we conducted a literature review on different revascularization strategies, on-pump and off-pump bypass grafting outcomes, harvested internal mammary artery numbers, and potential complications (e.g., steal syndrome) in managing patients with ESRD and comorbid CAD.