The impact of chronic kidney disease on outcomes following peripheral vascular intervention
| Autor: | William S Jones, George L. Adams, Ehrin J. Armstrong, William A. Gray, Jihad Mustapha, Eric A. Secemsky, Dennis I. Narcisse, Gary M. Ansel, Elizabeth Hope Weissler, Manesh R. Patel, Jennifer A. Rymer |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Disease 030204 cardiovascular system & hematology Revascularization Risk Assessment Lesion Peripheral Arterial Disease 03 medical and health sciences 0302 clinical medicine Risk Factors Internal medicine medicine Humans Prospective Studies 030212 general & internal medicine Renal Insufficiency Chronic Letters to the Editor Letter to the Editor Aged Aged 80 and over business.industry Incidence Significant difference Percutaneous coronary intervention General Medicine Middle Aged PERIPHERAL VASCULAR INTERVENTION medicine.disease United States Treatment Outcome Amputation Female medicine.symptom Cardiology and Cardiovascular Medicine business Vascular Surgical Procedures Follow-Up Studies Glomerular Filtration Rate Kidney disease |
| Zdroj: | Clinical Cardiology |
| ISSN: | 1932-8737 0160-9289 |
| DOI: | 10.1002/clc.23444 |
| Popis: | BACKGROUND Patients with chronic kidney disease (CKD) have worsened clinical outcomes following percutaneous coronary intervention; however, limited evidence exists in patients undergoing peripheral vascular intervention (PVI). PURPOSE We aimed to assess the effect of CKD on outcomes following PVI for symptomatic peripheral artery disease. METHODS Using patients from the LIBERTY 360 study, we compared the rates of 30 day and 1 year major adverse vascular events (MAVE), a composite of all-cause mortality, major amputation, and target vessel/lesion revascularization, between patients with and without CKD (estimated glomular filtration rate less than 60) following PVI. Multivariable adjustment was performed to assess for independent association between CKD and outcomes. RESULTS Among 1189 patients enrolled, 378 patients (31.8%) had CKD. At 1 year, patients with CKD had higher rates of MAVE (34.6% vs 25.6%), all-cause mortality (11.9% vs 5.5%), and major amputation (5.9% vs 2.6%) when compared with patients without CKD (all P |
| Databáze: | OpenAIRE |
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