[Treatment of coronary artery disease in hemodialysis patients].
Coronary artery disease is important in patients with hemodialysis because it relates with prognosis. Characteristics of coronary lesions are severe calcification, diffuse disease and multi-vessel disease. Coronary artery bypass is effective to improve long-term prognosis; however, non-cardiac complication rate is high. Percutaneous coronary intervention is also effective but rotablator is required for severe calcified arteries. Complete revascularization can improve long-term prognosis.
Ikari
Yuji
Y
Division of Cardiology, Mitsui Memorial Hospital.
D017225:Atherectomy, Coronary / Q000295:instrumentation; D002114:Calcinosis / Q000209:etiology / Q000628:therapy*; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000209:etiology / Q000628:therapy*; D006801:Humans; D011379:Prognosis; D006435:Renal Dialysis / Q000009:adverse effects*