کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2929012 1576154 2015 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Effect of advanced chronic kidney disease in clinical and echocardiographic outcomes of patients treated with MitraClip system
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Effect of advanced chronic kidney disease in clinical and echocardiographic outcomes of patients treated with MitraClip system
چکیده انگلیسی

BackgroundData regarding the influence of different levels of renal dysfunction on clinical and echocardiographic results of MitraClip therapy are scarce. We aimed to evaluate the impact of baseline advance renal failure in the outcomes of a cohort of patients treated with MitraClip.Methods and resultsWe analyzed data from a multicenter registry of 173 patients treated with MitraClip between 2009 and 2012. Patients were classified as advanced chronic kidney disease (CKD, creatinine clearance [CrCl] < 30 ml/min, group 1, n = 20), moderate CKD (CrCl 30–60 ml/min, group 2, n = 78) and normal renal function (CrCl > 60 ml/min, group 3, n = 75).Twenty patients (11.5%) presented advanced CKD. Procedural success was equal in the 3 groups (95.0% group 1, 100% in group 2 and 96.0% in group 3, p = 0.180). Post-procedural MR and NYHA class at 1 month (MR ≥ 3 + 5.0% vs. 0% vs. 4.0% p = 0.190 and NYHA > II 40.0% vs. 21.0% vs. 18.3%, p = 0.101) and 6 months (MR ≥ 3 + 0% vs. 13.0% vs. 2.7%, p = 0.330; and NYHA class > II 54.5% vs. 26.9% vs. 25.6%, p = 0.298) did not differ between groups. However, patients in group 1 experienced higher frequency of the composite end-point of mortality or readmission at 16.2 ± 11.1 months of follow-up (HR 4.8, CI 95% 1.1–21.3).ConclusionAdvanced CKD is linked to an excess of cardiac adverse events. This should be judiciously taken into account when selecting patients for MitraClip.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Cardiology - Volume 198, 1 November 2015, Pages 75–80
نویسندگان
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