Editorial
Angioplasty and stenting in patients with renal disease
| The first 150 words of the full text of this article appear below. |
Cardiac disease remains the leading cause of mortality among patients with end stage renal disease on haemodialysis. Disappointing results have been obtained with coronary angioplasty in these patients. Few data on angioplasty and stenting are available in this high risk population.
Coronary artery disease in dialysis patientsAmong all patients in the United States in whom dialysis was
initiated in 1987, the five year mortality rate was 73%.1 Cardiovascular disease accounted for half the total
mortality,1 and myocardial infarction for half the cardiac
deaths.2 The overall mortality after myocardial infarction
among 34 189 patients on long term dialysis identified from the US
Renal Data System database was 59% at one year and 90% at five
years.3 Atherogenesis seems to be accelerated in
haemodialysis patients,4 but does not seem to be secondary
to the dialysis itself. Half of all dialysis patients have evidence of
coronary artery disease before the initiation of
haemodialysis,5 and
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This article has been cited by other articles:
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Williams, M. E.
(2006). Coronary Revascularization in Diabetic Chronic Kidney Disease/End-Stage Renal Disease: A Nephrologist's Perspective. CJASN
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Hase, H., Nakamura, M., Joki, N., Tsunoda, T., Nakamura, R., Saijyo, T., Morishita, M., Yamaguchi, T.
(2001). Independent predictors of restenosis after percutaneous coronary revascularization in haemodialysis patients. Nephrol Dial Transplant
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Le Feuvre, C, Dambrin, G, Helft, G, Beygui, F, Touam, M, Grünfeld, J P, Vacheron, A, Metzger, J P
(2001). Clinical outcome following coronary angioplasty in dialysis patients: a case-control study in the era of coronary stenting. Heart
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[Abstract] [Full Text]
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