Treatment of coronary artery disease in hemodialysis patients: PTCA vs. stent

This retrospective study examined the utilization of coronary stent placement versus PTCA in hemodialysis patients with obstructive coronary disease. Prior studies have demonstrated suboptimal results with PTCA owing primarily to high rates of restenosis. We identified 19 hemodialysis patients who r...

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Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2001-12, Vol.54 (4), p.459-463
Main Authors: Malanuk, Robert M., Nielsen, Christopher D., Theis, Paul, Assey, Michael E., Usher, Bruce W., Leman, Robert B.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Angioplasty, Balloon, Coronary
coronary angioplasty
Coronary Artery Disease - complications
Coronary Artery Disease - mortality
Coronary Artery Disease - surgery
coronary stenting
Follow-Up Studies
hemodialysis
Humans
Kidney Failure, Chronic - complications
Kidney Failure, Chronic - mortality
Kidney Failure, Chronic - therapy
Middle Aged
Renal Dialysis
Retrospective Studies
South Carolina - epidemiology
Stents
Survival Analysis
Time
Treatment Outcome
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Summary:This retrospective study examined the utilization of coronary stent placement versus PTCA in hemodialysis patients with obstructive coronary disease. Prior studies have demonstrated suboptimal results with PTCA owing primarily to high rates of restenosis. We identified 19 hemodialysis patients who received a percutaneous coronary intervention who were matched with individuals without renal failure undergoing same vessel revascularization. Our study found that 71% of hemodialysis patients receiving PTCA had a recurrent cardiac event defined by subsequent angina, myocardial infarction, or cardiac death. At follow‐up, 30% of patients who received stent placement had recurrent cardiac events. Intracoronary stent placement is both safe and feasible and produces more favorable clinical outcomes in the management of coronary disease in hemodialysis patients. Cathet Cardiovasc Intervent 2001;54:459–463. © 2001 Wiley‐Liss, Inc.
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.1311