title: The efficacy of hemodialysis in interventional therapy in coronary artery disease patients with chronic renal insufficiency.
abstract: The aim of this study was to explore the efficacy and safety of hemodialysis in interventional therapy for patients with coronary artery disease combined with chronic renal insufficiency. With the aging and social development, the number of coronary artery disease patients with chronic renal insufficiency gradually increased. Total 58 coronary heart disease patients with chronic renal dysfunction were selected. These patients were characterized with typical angina symptoms and typical electrocardiogram (ECG) changes of onset angina. Continuous oral administration of sodium bicarbonate tablets 1 g 3/day × 3 days and slow intravenous input sodium chloride 1000 ∼1500 mL 3-12 h before operation were given. By this way, all patients were treated by hydration and alkalization. After percutaneous coronary intervention (PCI) treatment, patients were immediately transferred to undergo 4 h of dialysis treatment without removing indwelling of femoral artery puncture sheath tube to protect renal function. Changes in renal function including serum creatinine, glomerular filtration rate, and urine were observed and recorded. All patients were successfully underwent PCI treatment. Within one month after PCI, there were no obvious complication and no stent thrombosis occurred. Among of 58 patients, 56 cases showed no significant increase in serum creatinine levels compared with those before operation. However, serum creatinine level of one patient increased to 251 umol/L and one patient still required permanent dialysis. Using hemodialysis in interventional therapy in coronary artery disease patients with chronic renal insufficiency could significantly improve the prognosis of the patients.
authors: a Department of Cadres , First Hospital Affiliated to General Hospital of People's Liberation Army , Beijing , China.
authors: Hongxia
authors: H
authors: Zhai
authors: a Department of Cadres , First Hospital Affiliated to General Hospital of People's Liberation Army , Beijing , China.
authors: Liang
authors: L
authors: Li
authors: a Department of Cadres , First Hospital Affiliated to General Hospital of People's Liberation Army , Beijing , China.
authors: Yaxin
authors: Y
authors: Yin
authors: a Department of Cadres , First Hospital Affiliated to General Hospital of People's Liberation Army , Beijing , China.
authors: Jinjin
authors: J
authors: Zhang
authors: a Department of Cadres , First Hospital Affiliated to General Hospital of People's Liberation Army , Beijing , China.
authors: Haiwei
authors: H
authors: Chen
authors: a Department of Cadres , First Hospital Affiliated to General Hospital of People's Liberation Army , Beijing , China.
authors: Runmei
authors: R
authors: Liu
authors: a Department of Cadres , First Hospital Affiliated to General Hospital of People's Liberation Army , Beijing , China.
authors: Yun-feng
authors: YF
authors: Xia
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002681:China; D003324:Coronary Artery Disease / Q000150:complications* / Q000601:surgery; D003404:Creatinine / Q000097:blood; D005260:Female; D005919:Glomerular Filtration Rate; D006801:Humans; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention; D006435:Renal Dialysis / Q000379:methods*; D051436:Renal Insufficiency, Chronic / Q000628:therapy*; D012307:Risk Factors; D017693:Sodium Bicarbonate / Q000008:administration & dosage*
chemical_list: D017693:Sodium Bicarbonate; D003404:Creatinine
keywords: Coronary artery disease; PCI; hemodialysis; interventional therapy; renal insufficiency