Are Patients With Renal Failure Good Candidates for Percutaneous Coronary Revascularization in the New Device Era?
| Autor: | Mark H. Rubenstein, Hasan Bazari, Igor F. Palacios, Heribert Schunkert, Lari C. Harrell, Boris V. Sheynberg |
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| Rok vydání: | 2000 |
| Předmět: |
Male
medicine.medical_specialty Percutaneous medicine.medical_treatment Coronary Disease Balloon chemistry.chemical_compound Physiology (medical) Angioplasty Myocardial Revascularization medicine Humans Renal Insufficiency Myocardial infarction Aged Creatinine business.industry Angiography Percutaneous coronary intervention medicine.disease Surgery Treatment Outcome chemistry Female Stents Cardiology and Cardiovascular Medicine Complication business Follow-Up Studies Kidney disease |
| Zdroj: | Circulation. 102:2966-2972 |
| ISSN: | 1524-4539 0009-7322 |
| DOI: | 10.1161/01.cir.102.24.2966 |
| Popis: | Background —Patients with end-stage renal disease undergoing conventional balloon angioplasty have reduced procedural success and increased complication rates. This study was designed to determine the immediate and long-term outcomes of patients with varying degrees of renal failure undergoing percutaneous coronary intervention in the current device era. Methods and Results —We compared the immediate and long-term outcomes of 362 renal failure patients (creatinine >1.5 mg/dL) with those of 2972 patients with normal renal function who underwent percutaneous coronary intervention between 1994 and 1997. Patients with renal failure were older and had more associated comorbidities. They had reduced procedural success (89.5% versus 92.9%, P =0.007) and greater in-hospital combined major event (death, Q-wave myocardial infarction, emergent CABG; 10.8% versus 1.8%; P P P P Conclusions —Although patients with renal failure can be treated with a high procedural success rate in the new device era, they have an increased rate of major events both in hospital and at long-term follow-up. Nevertheless, utilization of stenting and debulking techniques improves immediate and long-term outcomes. |
| Databáze: | OpenAIRE |
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