Clinical effect of treating renal transplant recipients with percutaneous coronary intervention and its safety.

Autor: Zhang Y; Yanxuan Zhang, MD. Kidney Disease Center, People's Hospital of Zhengzhou, Henan, 450002, China., Pan Z; Zhenhong Pan, B Med. Kidney Disease Center, People's Hospital of Zhengzhou, Henan, 450002, China., Fang J; Jun Fang, MM. Kidney Disease Center, People's Hospital of Zhengzhou, Henan, 450002, China., Qu Q; Qingshan Qu, B Med. Kidney Disease Center, People's Hospital of Zhengzhou, Henan, 450002, China., Jiang X; Xin Jiang, MM. Kidney Disease Center, People's Hospital of Zhengzhou, Henan, 450002, China., Li M; Ming Li, MM. Kidney Disease Center, People's Hospital of Zhengzhou, Henan, 450002, China.
Jazyk: angličtina
Zdroj: Pakistan journal of medical sciences [Pak J Med Sci] 2016 Mar-Apr; Vol. 32 (2), pp. 333-6.
DOI: 10.12669/pjms.322.8952
Abstrakt: Objective: To explore clinical effect of treating acute coronary syndrome (ACS) of renal transplant recipients with percutaneous coronary intervention and its safety.
Methods: Forty two renal transplant recipients who were diagnosed with acute coronary syndrome and received percutaneous coronary intervention (PCI) in our hospital were selected. Serum creatinine (Cr) and glomerular filtration rate (GFR) were compared before surgery, 48 ~ 72 hour after surgery and one year after surgery. All patients were followed up.
Results: All patients successfully completed PCI. Contrast-induced nephropathy was not found after surgery. Cr and GFR 48 ~ 72 hour after surgery and one year after surgery had no significant differences with that before surgery (P>0.05). The follow up lasted for (61.2±32.2) months averagely. Of 42 cases, 4 cases died, 6 cases were found with nonfatal myocardial infarction, 4 cases were observed with repeat revascularization and 12 cases had accumulative major adverse cardiovascular events (MACE).
Conclusion: PCI is proved to be effective in treating renal transplant recipients; no severe complications are found and renal function recovers well after treatment.
Databáze: MEDLINE
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