title: Short- and long-term outcomes after percutaneous transluminal coronary angioplasty in chronic hemodialysis patients.
abstract: The aim of this study was to obtain data on the outcomes of chronic hemodialysis patients who underwent percutaneous transluminal coronary angioplasty (PTCA). A retrospective chart analysis identified 31 such patients between August 1992 and October 1996. The mean follow-up period was 12.4 +/- 11.7 months. Angiographic success was achieved in 39 of 41 (95.1%) stenoses attempted. There were three in-hospital deaths. Clinical success was achieved in 28 of 31 patients (90%). Two of the 28 survivors were lost to follow-up. Recurrent angina developed within 6 months in 14 of 26 patients (53.8%). Eleven and 17 of the 26 patients (42.3% and 65.4%) died within 6 and 14 months, respectively, after the PTCA procedure. Ten of the 17 deaths (58.8%) were due to cardiovascular events. Our study suggests that PTCA is technically feasible with high angiographic success rate in chronic hemodialysis patients. In-hospital mortality rate and rate of recurrent angina are high. Long-term prognosis is poor.
authors.affiliation: Section of Cardiology, Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
authors.forename: C L
authors.initials: CL
authors.lastname: Hang
authors.forename: M C
authors.initials: MC
authors.lastname: Chen
authors.forename: B J
authors.initials: BJ
authors.lastname: Wu
authors.forename: C J
authors.initials: CJ
authors.lastname: Wu
authors.forename: S
authors.initials: S
authors.lastname: Chua
authors.forename: M
authors.initials: M
authors.lastname: Fu
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000401:mortality; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000401:mortality / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D012189:Retrospective Studies; D015996:Survival Rate