Risk-Stratified Cardiovascular Screening Including Angiographic and Procedural Outcomes of Percutaneous Coronary Interventions in Renal Transplant Candidates
Joint Authors
Reinke, Petra
Möckel, Martin
König, Julian
Mueller, Eda
Bocksch, Wolfgang
Baid-Agrawal, Seema
Babel, Nina
Schindler, Ralf
Nickel, Peter
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-06-19
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Background.
Benefits of cardiac screening in kidney transplant candidates (KTC) will be dependent on the availability of effective interventions.
We retrospectively evaluated characteristics and outcome of percutaneous coronary interventions (PCI) in KTC selected for revascularization by a cardiac screening approach.
Methods.
In 267 patients evaluated 2003 to 2006, screening tests performed were reviewed and PCI characteristics correlated with major adverse cardiovascular events (MACE) during a follow-up of 55 months.
Results.
Stress tests in 154 patients showed ischemia in 28 patients (89% high risk).
Of 58 patients with coronary angiography, 38 had significant stenoses and 18 cardiac interventions (6.7% of all).
29 coronary lesions in 17/18 patients were treated by PCI.
Angiographic success rate was 93.1%, but procedural success rate was only 86.2%.
Long lesions ( P = 0.029 ) and diffuse disease ( P = 0.043 ) were associated with MACE.
In high risk patients, cardiac screening did not improve outcome as 21.7% of patients with versus 15.5% of patients without properly performed cardiac screening had MACE ( P = 0.319 ).
Conclusion.
The moderate procedural success of PCI and poor outcome in long and diffuse coronary lesions underscore the need to define appropriate revascularization strategies in KTC, which will be a prerequisite for cardiac screening to improve outcome in these high-risk patients.
American Psychological Association (APA)
König, Julian& Möckel, Martin& Mueller, Eda& Bocksch, Wolfgang& Baid-Agrawal, Seema& Babel, Nina…[et al.]. 2014. Risk-Stratified Cardiovascular Screening Including Angiographic and Procedural Outcomes of Percutaneous Coronary Interventions in Renal Transplant Candidates. Journal of Transplantation،Vol. 2014, no. 2014, pp.1-11.
https://search.emarefa.net/detail/BIM-1043298
Modern Language Association (MLA)
König, Julian…[et al.]. Risk-Stratified Cardiovascular Screening Including Angiographic and Procedural Outcomes of Percutaneous Coronary Interventions in Renal Transplant Candidates. Journal of Transplantation No. 2014 (2014), pp.1-11.
https://search.emarefa.net/detail/BIM-1043298
American Medical Association (AMA)
König, Julian& Möckel, Martin& Mueller, Eda& Bocksch, Wolfgang& Baid-Agrawal, Seema& Babel, Nina…[et al.]. Risk-Stratified Cardiovascular Screening Including Angiographic and Procedural Outcomes of Percutaneous Coronary Interventions in Renal Transplant Candidates. Journal of Transplantation. 2014. Vol. 2014, no. 2014, pp.1-11.
https://search.emarefa.net/detail/BIM-1043298
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1043298