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Comparison of 3-year clinical outcomes after endovascular therapy for aortoiliac artery occlusive disease between patients with and without hemodialysis: Subanalysis of the REAL-AI registry
- Source :
- Catheterization and cardiovascular interventions : official journal of the Society for Cardiac AngiographyInterventions. 92(7)
- Publication Year :
- 2018
-
Abstract
- Purpose The impact of hemodialysis (HD) on aortoiliac (AI) occlusive lesions remains unknown. Here, we report the 3-year clinical outcomes of endovascular treatment (EVT) for AI occlusive lesions in propensity-matched populations of patients who did and did not undergo HD. Methods The cohort of this large-scale, multicenter, retrospective registry study included 574 consecutive patients with AI occlusive disease. Propensity score-matched analysis was performed to compare AI occlusive lesions between patients who did and did not undergo HD. The endpoints were primary patency, assisted primary patency, and secondary patency as well as overall survival and major adverse limb events (MALEs). Results A total of 57 matched pairs of patients who did and did not undergo HD were analyzed after propensity score-matched analysis. No significant difference was observed in primary patency, assisted primary patency, secondary patency, and MALEs at 3 years. The survival rate was significantly lower in the HD group than in the without-HD group (68% vs. 93%, P = 0.03). Conclusions Although the survival rate of HD patients was poor, the results of EVT for AI occlusive lesions were reasonable in these patients.
- Subjects :
- Male
medicine.medical_specialty
Time Factors
medicine.medical_treatment
Occlusive disease
Aortic Diseases
Arterial Occlusive Diseases
030204 cardiovascular system & hematology
Kidney
Endovascular therapy
Iliac Artery
03 medical and health sciences
0302 clinical medicine
Japan
Renal Dialysis
Risk Factors
medicine
Humans
Radiology, Nuclear Medicine and imaging
030212 general & internal medicine
Registries
Endovascular treatment
Survival rate
Vascular Patency
Aged
Retrospective Studies
Aged, 80 and over
business.industry
Significant difference
Endovascular Procedures
General Medicine
Middle Aged
Surgery
medicine.anatomical_structure
Treatment Outcome
Cohort
Female
Kidney Diseases
Hemodialysis
Cardiology and Cardiovascular Medicine
business
Artery
Glomerular Filtration Rate
Subjects
Details
- ISSN :
- 1522726X
- Volume :
- 92
- Issue :
- 7
- Database :
- OpenAIRE
- Journal :
- Catheterization and cardiovascular interventions : official journal of the Society for Cardiac AngiographyInterventions
- Accession number :
- edsair.doi.dedup.....ed6266d523513490bf3228da4923137e