[Percutaneous coronary interventions in patients with ischemic heart disease and chronic renal failure].
Patients with chronic renal failure (CRF) consist of about 10% of all patients with ischemic heart disease (IHD) undergoing percutaneous coronary interventions (PCI). These patients have a higher rate of in-hospital and long-term major adverse cardiac events. Coronary stents improved prognosis in CRF patients, however long-term survival is still poor. Coronary artery bypass graft (CABG) surgery is an alternative modality of treatment, with better long-term prognosis but at the cost of higher in-hospital mortality. CABG surgery probably should be preferred in patients with CRF and multivessel coronary artery disease, left main stenosis or diabetes. The influence of drug-eluting stents on survival in patients with CRF is unknown.
Witkowski
Adam
A
Samodzielna Pracownia Hemodynamiki Instytutu Kardiologii w Warszawie. witkowski@hbz.pl
D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D001026:Coronary Artery Bypass / Q000379:methods*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications*; D017202:Myocardial Ischemia / Q000150:complications* / Q000401:mortality / Q000601:surgery*; D015607:Stents; D015996:Survival Rate