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Titolo:
Treatment of coronary artery disease in hemodialysis patients: PTCA vs. stent
Autore:
Malanuk, RM; Nielsen, CD; Theis, P; Assey, ME; Usher, BW; Leman, RB;
Indirizzi:
Med Univ S Carolina, Dept Internal Med, Div Cardiol, Charleston, SC 29425 USA Med Univ S Carolina Charleston SC USA 29425 iol, Charleston, SC 29425 USA
Titolo Testata:
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
fascicolo: 4, volume: 54, anno: 2001,
pagine: 459 - 463
SICI:
1522-1946(200112)54:4<459:TOCADI>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
STAGE RENAL-DISEASE; CHRONIC DIALYSIS PATIENTS; SHORT-TERM; ANGIOPLASTY; OUTCOMES; SURGERY;
Keywords:
hemodialysis; coronary angioplasty; coronary stenting;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Malanuk, RM Med Univ S Carolina, Dept Internal Med, Div Cardiol, 96 Jonathan Lucas St,Suite 816 CSB,POB 250623, Charleston, SC 29425 USA Med Univ S Carolina 96 Jonathan Lucas St,Suite 816 CSB,POB 250623 Charleston SC USA 29425
Citazione:
R.M. Malanuk et al., "Treatment of coronary artery disease in hemodialysis patients: PTCA vs. stent", CATHET C IN, 54(4), 2001, pp. 459-463

Abstract

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. (C) 2001 Wiley-Liss, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/04/20 alle ore 12:54:33