Original Study

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

  1. Robert M. Malanuk MD*,
  2. Christopher D. Nielsen MD,
  3. Paul Theis,
  4. Michael E. Assey MD,
  5. Bruce W. Usher MD,
  6. Robert B. Leman MD

Article first published online: 19 NOV 2001

DOI: 10.1002/ccd.1311

Issue

Catheterization and Cardiovascular Interventions

Catheterization and Cardiovascular Interventions

Volume 54, Issue 4, pages 459–463, December 2001

Additional Information

How to Cite

Malanuk, R. M., Nielsen, C. D., Theis, P., Assey, M. E., Usher, B. W. and Leman, R. B. (2001), Treatment of coronary artery disease in hemodialysis patients: PTCA vs. stent. Catheterization and Cardiovascular Interventions, 54: 459–463. doi: 10.1002/ccd.1311

Author Information

  1. Department of Internal Medicine, Division of Cardiology, Medical University of South Carolina, Charleston, South Carolina

*Department of Internal Medicine, Division of Cardiology, Medical University of South Carolina, 96 Jonathan Lucas Street, Suite 816 CSB, P.O. Box 250623, Charleston, SC 29425

Publication History

  1. Issue published online: 19 NOV 2001
  2. Article first published online: 19 NOV 2001
  3. Manuscript Accepted: 28 JUL 2001
  4. Manuscript Received: 29 JAN 2001

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Keywords:

  • hemodialysis;
  • coronary angioplasty;
  • coronary stenting

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. Cathet Cardiovasc Intervent 2001;54:459–463. © 2001 Wiley-Liss, Inc.

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