Survival after coronary revascularization among patients with kidney disease

Hemmelgarn, B.R.; Southern, D.; Culleton, B.F.

doi:10.1016/j.accreview.2004.12.111

Cited by 22 publications

(35 citation statements)

References 10 publications

(10 reference statements)

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“…11,12 Renal dysfunction was defined by an estimated glomerular filtration rate (e-GFR) of <60 ml · min -1 · 1.73 m -2 . Clinical risk was defined according to the EuroSCORE (low risk, ≤2; intermediate risk, 3-5; and high risk, ≥6) and the SYNTAX score (low, 0-22; intermediate, [23][24][25][26][27][28][29][30][31][32]; and high, ≥33).…”

Section: Discussionmentioning

confidence: 99%

Impact of Rotational Atherectomy on Heavily Calcified, Unprotected Left Main Disease

Yabushita

Takagi

Tahara

et al. 2014

Circ J

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Section: Discussionmentioning

confidence: 99%

Impact of Rotational Atherectomy on Heavily Calcified, Unprotected Left Main Disease

Yabushita

Takagi

Tahara

et al. 2014

Circ J

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“…Four studies included patients who underwent repeat revascularization, a larger proportion (22%) of patients in two studies (31,33), and a small proportion (11%) in the remaining 2 studies (25,32). Two of the studies included a small number of patients (13%) who had emergent surgeries (30,32).…”

Section: Patient Characteristics and Outcome Definitionsmentioning

confidence: 99%

“…Short-term mortality was defined by intra-or postoperative deaths during the same hospital admission (20,21,25,26,30 -32,34) or within 30 d after surgery (22,28,29,35), whereas longterm mortality was defined as any death that occurred during the follow-up period, which was at least 1 yr (29,31,34) to a maximum average of 8 yr (33). A cardiac event was defined as a composite outcome of myocardial infarction or need for repeat revascularization in nine studies.…”

Section: Patient Characteristics and Outcome Definitionsmentioning

confidence: 99%

Optimal Method of Coronary Revascularization in Patients Receiving Dialysis

Nevis

Mathew

Novick

et al. 2009

Clinical Journal of the American Society of Nephrology

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Background and objectives: Patients receiving dialysis have a high burden of cardiovascular disease. Some receive coronary artery revascularization but the optimal method is controversial.Design, setting, participants, & measurements: The authors reviewed any randomized controlled trial or cohort study of 10 or more patients receiving maintenance dialysis which compared coronary artery bypass graft (CABG) to percutaneous intervention (PCI) for revascularization of the coronary arteries. The primary outcomes were short-term (30 d or in-hospital) and long-term (at least 1 year) mortality.Results: Seventeen studies were found. There were no randomized trials: all were retrospective cohort studies from years 1977 to 2002. There were some baseline differences between the groups receiving CABG compared with those receiving PCI, and most studies did not consider results adjusted for such characteristics. Given the variability among studies and their methodological limitations, few definitive conclusions about the optimal method of revascularization could be drawn. In an exploratory meta-analysis, short-term mortality was higher after CABG compared to PCI. A substantial number of patients died over a subsequent 1 to 5 yr, with no difference in mortality after CABG compared to PCI.Conclusions: Although decisions about the optimal method of coronary artery revascularization in dialysis patients are undertaken routinely, it was surprising to see how few data has been published in this regard. Additional research will help inform physician and patient decisions about coronary artery revascularization.

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“…5 For three vessel disease, according to the SYNTAX trial and score, the patients with three vessel disease and left main stenosis will benefit more by doing coronary artery bypass grafting more than percutaneous intervention, this apply also on patients other than renal disease, but in case of ESRD; the risk of overloading the heart with the contrast during intervention makes the direction toward CABG is feasible option. 6,7 The choice to do the operation is not an easy option; it carries great challenge to the surgeon, anesthetist, and postoperative team. Firstly the patients with ESRD are debilitating ill patients, could be malnourished, chronic anemia because of disturbances of bone marrow metabolism, hypoprotemia, hypoalbunemia, hormonally disturbed, so they need to be fully evaluated and managed preoperatively.…”

Section: Resultsmentioning

confidence: 99%