Impact of acute coronary syndromes on survival of dialysis patients following surgical or percutaneous coronary revascularization in the United States

European Heart Journal. Acute Cardiovascular Care
Gautam R ShroffCharles A Herzog

Abstract

We sought to evaluate survival of dialysis (chronic kidney disease (CKD) stage 5D) patients undergoing coronary revascularization procedures in the context of acute coronary syndrome (ACS) compared with absence of ACS. CKD 5D patients undergoing coronary revascularization, 2004-2009 (n = 23,033), were identified from the United States Renal Data System. Long-term survival was estimated by the Kaplan-Meier method and independent predictors of mortality using a comorbidity-adjusted Cox proportional hazards model. Among ACS patients (n = 12,473; 54%), revascularization procedures were coronary artery bypass grafting (CABG, n = 2910), drug-eluting stents (DESs, n = 6566), and bare metal stents (BMSs, n = 2997). All-cause survival rates following these procedures, respectively, were: in-hospital 90%, 96%, 93%; one-year: 66%, 67%, 58%; two-year: 53%, 48%, 43%. Among non-ACS patients (n = 10,560; 46%), procedures were CABG (n = 3268), DESs (n = 5278), and BMSs (n = 2014). Survival rates following these procedures, respectively, were: in-hospital 94%, 99%, 98%; one year: 73%, 77%, 70%; two year: 61%, 59%, 55%. DESs (versus CABG) independently predicted mortality among ACS (hazard ratio 1.08; 95% confidence interval 1.02-1.15) but not n...Continue Reading

References

Sep 17, 1998·The New England Journal of Medicine·C A HerzogA J Collins
Jan 29, 2000·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·U SchwarzK Amann
Sep 29, 2000·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·K Iseki, K Fukiyama
Sep 29, 2004·Circulation·Brenda R HemmelgarnUNKNOWN Alberta Provincial Project for Outcomes Assessment in Coronary Heart Disease (APPROACH) Investigators
Feb 17, 2009·Clinical Journal of the American Society of Nephrology : CJASN·Immaculate F NevisAmit X Garg
Jun 2, 2010·Journal of the American College of Cardiology·Roxana MehranGregg W Stone
Oct 1, 2011·Journal of the American College of Cardiology·Alan S GoUNKNOWN ADVANCE Study Investigators
Dec 4, 2012·Journal of the American Society of Nephrology : JASN·Tara I ChangWolfgang C Winkelmayer
Sep 3, 2013·The New England Journal of Medicine·David S WaldUNKNOWN PRAMI Investigators

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Citations

Aug 6, 2016·Journal of the American Society of Nephrology : JASN·Gautam R Shroff, Charles A Herzog
Jun 9, 2017·European Heart Journal. Acute Cardiovascular Care·Kaoru AndoYo Koyama
Mar 9, 2018·Annals of Vascular Diseases·Jiro Aoki, Yuji Ikari
Nov 24, 2018·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Yohei NumasawaUNKNOWN J-PCI Registry Investigators
Sep 1, 2019·Current Cardiology Reports·Evan C KleinPeter J Mason
Aug 10, 2021·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Gautam R Shroff, Timothy D Henry
Oct 31, 2021·Journal of the American Society of Nephrology : JASN·Joshua A WalkerVipul C Chitalia

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Methods Mentioned

BETA
coronary artery bypass
percutaneous transluminal coronary angioplasty

Software Mentioned

SAS

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