High mortality rate in hemodialysis patients who undergo invasive cardiovascular procedures related to peripheral artery disease - community-based observational study in Kumamoto Prefecture -

Circulation Journal : Official Journal of the Japanese Circulation Society
Seiji HokimotoMulti-center Study of Hemodialysis Patients Undergoing Invasive Cardiovascular Procedures Study Investigators

Abstract

Cardiovascular disease is a major cause of mortality in hemodialysis patients. The aim was to assess the relationship of various invasive cardiovascular procedures (ICP) to clinical outcome in hemodialysis patients. A total of 5,813 patients at 76 facilities were on maintenance hemodialysis in Kumamoto Prefecture. Of these, 4,807 patients at 58 institutions were enrolled. Of 4,807 patients, 212 ICP (4.4%) were performed for various cardiovascular diseases in 189 patients (3.9%). ICP included PCI (n=80), endovascular treatment (n=59), radiofrequency catheter ablation (n=8), implantation of permanent pacemaker (n=15) and ICD (n=5), thoracotomy for valvular diseases (n=16), CABG (n=14), bypass surgery for peripheral artery disease (PAD; n=8), and artificial vessel replacement for aneurysm or aortic dissection (n=7). The overall mortality rate was 10.1% (19/189 patients). The mortality rate was highest in patients who underwent ICP for PAD, compared with other ICP (PAD, 18.2%; non-PAD, 6.7%, P=0.017). Infection and PAD were significant predictors of mortality (infection: OR, 8.30; 95% CI: 1.29-65.13, P=0.027; PAD: OR, 3.76; 95% CI: 1.35-10.48, P=0.012). The presence of inflammation/malnutrition factors was associated with high mort...Continue Reading

References

Feb 1, 1997·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·B J BarrettR M Richardson
Nov 20, 1998·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·R N FoleyM J Sarnak
Aug 31, 2001·Journal of the American College of Cardiology·M G ShlipakUNKNOWN Heart and Estrogen/progestin Replacement Study (HERS) Investigators
Oct 31, 2001·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·A G Stack, W E Bloembergen
Nov 13, 2002·Kidney International·Trinh B PiferEric W Young
Apr 30, 2003·Archives of Internal Medicine·Jill J F BelchUNKNOWN Prevention of Atherothrombotic Disease Network
Oct 29, 2003·Circulation·Mark J SarnakUNKNOWN American Heart Association Councils on Kidney in Cardiovascular Disease, High Blood Pressure Research, Clinical Cardiology,
Nov 8, 2003·Hypertension·Mark J SarnakUNKNOWN American Heart Association Councils on Kidney in Cardiovascular Disease, High Blood Pressure Research, Clinical Cardiology,
Jan 30, 2004·JAMA : the Journal of the American Medical Association·Yongmei LiuMichael J Klag
Jul 22, 2004·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Michael KochBernd Grabensee
Sep 24, 2004·The New England Journal of Medicine·Alan S GoChi-yuan Hsu
Sep 29, 2004·Circulation·Brenda R HemmelgarnUNKNOWN Alberta Provincial Project for Outcomes Assessment in Coronary Heart Disease (APPROACH) Investigators
Dec 17, 2004·Journal of the American Society of Nephrology : JASN·Ann M O'HareMary-Margaret Chren
Jan 13, 2006·JAMA : the Journal of the American Medical Association·Deepak L BhattUNKNOWN REACH Registry Investigators
Mar 7, 2007·Pacing and Clinical Electrophysiology : PACE·Phillip S CuculichBruce D Lindsay
Mar 22, 2007·JAMA : the Journal of the American Medical Association·Ph Gabriel StegUNKNOWN REACH Registry Investigators
Aug 21, 2007·Clinical Journal of the American Society of Nephrology : CJASN·Stephanie S DeLoach, Emile R Mohler
Jul 4, 2008·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Yoshitaka KumadaToyoaki Murohara
Jun 6, 2013·Therapeutic Apheresis and Dialysis : Official Peer-reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy·Minako WakasugiIchiei Narita
Dec 18, 2013·Therapeutic Apheresis and Dialysis : Official Peer-reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy·Shigeru NakaiYoshiharu Tsubakihara
Feb 4, 2014·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·D MartinJ Golledge
Nov 26, 2014·Circulation Journal : Official Journal of the Japanese Circulation Society·Tomonari KiriyamaKenjiro Kikuchi

❮ Previous
Next ❯

Citations

Sep 12, 2015·Circulation Journal : Official Journal of the Japanese Circulation Society·Yoichiro OtakiIsao Kubota
Jun 2, 2015·Circulation Journal : Official Journal of the Japanese Circulation Society·Daisuke Sueta, Seiji Hokimoto
Jul 7, 2017·Circulation Journal : Official Journal of the Japanese Circulation Society·Koichi Kaikita, Kenichi Tsujita

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiovascular Inflammation

Inflammation plays a significant role in the development of cardiovascular diseases, an understanding of these endogenous processes is critical for evaluating the risks and potential treatment strategies. Discover the latest research on cardiovascular inflammation here.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.