title: Coronary artery disease treatment in dialysis patients at the Hospital das Clínicas da Faculdade de Medicina de Botucatu--UNESP.
abstract: BACKGROUND
  Interventional treatment of coronary insufficiency is underemployed among dialysis patients. Studies confirming its efficacy in this set of patients are scarce.
  
  
  OBJECTIVE
  To assess the results of interventional treatment of coronary artery disease in patients undergoing dialysis.
  
  
  METHODS
  A total of 34 dialysis patients submitted to coronary angiography between September 1995 and October 2004 were divided according to presence or absence of coronary lesion, type of treatment and presence or absence of diabetes mellitus. The groups were compared according to their clinical and survival characteristics. Survival of patients undergoing interventional treatment was compared to overall survival of 146 dialysis patients at the institution in the same period. Interventional treatment was indicated to the same clinical conditions in the general population.
  
  
  RESULTS
  Thirteen patients with no angiography coronary lesions presented a survival rate of 100% in 48 months as compared to 35% of 21 patients with coronary artery disease. Diabetic patients had a lower survival rate compared with non-diabetics. Angioplasty had a worse prognosis compared to surgery; however, 80% of patients undergoing angioplasty were diabetic. Seventeen patients submitted to interventional procedures presented a survival rate similar to that of the others 146 hemodialysis patients without clinical evidence of coronary disease.
  
  
  CONCLUSIONS
  This small series shows that myocardial revascularization, whenever indicated, can be performed in dialysis patients. This conclusion is corroborated by similar mortality rates in two groups of patients: coronary patients submitted to revascularization and overall dialysis patients.
authors.affiliation: Faculdade de Medicina de Botucatu, UNESP, Botucatu, SP, Brazil.
authors.forename: Paula Ferreiro
authors.initials: PF
authors.lastname: Vieira
authors.forename: Paula Dalsoglio
authors.initials: PD
authors.lastname: Garcia
authors.forename: Edson Antonio
authors.initials: EA
authors.lastname: Bregagnollo
authors.forename: Fábio Cardoso
authors.initials: FC
authors.lastname: Carvalho
authors.forename: Ana Cláudia
authors.initials: AC
authors.lastname: Kochi
authors.forename: Antonio Sérgio
authors.initials: AS
authors.lastname: Martins
authors.forename: Jaqueline Costa Teixeira
authors.initials: JC
authors.lastname: Caramori
authors.forename: Roberto Jorge da Silva
authors.initials: RJ
authors.lastname: Franco
authors.forename: Pasqual
authors.initials: P
authors.lastname: Barretti
authors.forename: Luis Cuadrado
authors.initials: LC
authors.lastname: Martin
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D003327:Coronary Disease / Q000150:complications / Q000628:therapy*; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011446:Prospective Studies; D006435:Renal Dialysis; D016896:Treatment Outcome