title: Clinical outcome of renal transplant patients after coronary stenting.
abstract: OBJECTIVE
  To assess the clinical outcome of renal transplant patients who developed coronary artery disease and were treated with coronary stenting (TCA-ST).
  
  
  METHODS
  A total of 3,334 renal transplants were performed in our service--Hospital do Rim e Hipertensão--HRH (Kidney and Hypertension Hospital) from July, 1998 to November, 2004. During this period, 33 of the renal transplant patients underwent TCA-ST to treat 62 severe stenoses in 54 coronary arteries. A retrospective analysis was performed with renal transplant patients undergoing TCA-ST at HRH. The clinical events were registered using medical charts, medical visits and phone calls.
  
  
  RESULTS
  During the 30-month clinical follow-up after TCA-ST, 67% of the patients remained asymptomatic, 18% presented stable angina, 6% presented acute coronary syndrome without ST-segment elevation (ACSWSTE), and 3% presented acute coronary syndrome with ST-segment elevation (ACSSTE). No strokes, CHF or cardiac deaths were observed. Three non-cardiac deaths occurred. A restenosis rate of 9% was observed, which is comparable to those found in studies on drug-eluting stents.
  
  
  CONCLUSIONS
  In conclusion, renal transplant patients who developed CAD and were treated with coronary stenting had a low rate of in-stent restenosis, probably related to the immunosuppressive regimen given to prevent kidney rejection.
authors.affiliation: Hospital do Rim e Hipertensão, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil. fby98@ig.com.br
authors.forename: Fábio Monteiro
authors.initials: FM
authors.lastname: Mota
authors.forename: Juliana
authors.initials: J
authors.lastname: Araújo
authors.forename: José Airton
authors.initials: JA
authors.lastname: Arruda
authors.forename: Hélio T S
authors.initials: HT
authors.lastname: Júnior
authors.forename: José O M
authors.initials: JO
authors.lastname: Pestana
authors.forename: José Marconi A
authors.initials: JM
authors.lastname: de Sousa
authors.forename: Valter C
authors.initials: VC
authors.lastname: Lima
mesh_terms: D003324:Coronary Artery Disease / Q000150:complications / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000601:surgery*; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015607:Stents; D016896:Treatment Outcome