中尾 優
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Assistant Professor
Language English
Title Impact of Renal Transplantation on Clinical Outcomes after Percutaneous Coronary Intervention
Conference The 83rd Annual Scientific Meeting of the Japanese Circulation Society (JCS2019)
Promoters Japanese Circulation Society
Conference Type Nationwide Conferences
Presentation Type Speech
Lecture Type General
Publisher and common publisher◎SATOMI Natsuko, NAKAO Masashi, EBIHARA Suguru, TANAKA Kazuki, OOTSUKI Hisao, YAMAGUCHI Junichi, HAGIWARA Nobuhisa
Date 2019/03/30
Venue
(city and name of the country)
Yokohama, JAPAN
Summary *Featured Research Session 6 Coronary Artery Diseases (Clinical) 2

Introduction: Renal transplantation (RTx) is one of the great options for hemodialysis (HD) patients to improve their life expectancy. However, little is known about outcomes of RTx patients undergoing percutaneous coronary intervention (PCI).

Methods: Consecutive 50 RTx patients undergoing PCI from 2002 to 2017 were enrolled. We examined clinical outcomes of RTx patients in comparison with those of 50 HD patients who underwent PCI using propensity score matching. The primary outcome was the incidence of major adverse cardiac event (MACE: a composite of all cause death, non-fatal myocardial infarction and target vessel revascularization [TVR]).

Results: Kaplan-Meier analysis revealed that the incidence of MACE in RTx group was significantly lower than in HD group (p<0.0001). Moreover, RTx group was associated with lower risk for all cause death (odds ratio [OR]: 0.23; 95% confidence interval [CI]: 0.05 to 0.72; p=0.01) and TVR (OR: 0.12; 95% CI: 0.04 to 0.29; p<0.0001) than HD group.Conclusion: Our present results suggest that RTx may improve not only life expectancy but also TVR after PCI.