Multivessel Coronary Angioplasty with Drug Eluting Stents in a Chronically Hemodialyzed Diabetic Patient with Impaired Left Ventricular Systolic Function

Authors

  • Prodromos Anthopoulos
  • Ioannis Alexanian

DOI:

https://doi.org/10.2015/hc.v3i1%20sup.117

Keywords:

heart failure, dialysis, coronary heart disease, revascularization, coronary angioplasty, coronary stenting

Abstract

We present a case of staged multivessel percutaneous coronary intervention (PCI) with drug-eluting-stents (DES) in a diabetic patient with three-vessel coronary heart disease (CHD), dialysis-dependent chronic renal failure and impaired left ventricular (LV) systolic function. The optimal method of coronary revascularization in dialysis patients is controversial. Surgical treatment (CABG) is a high-risk procedure. CABG in the pre- DES era was associated with a better long-term prognosis, but at the cost of higher in-hospital mortality. PCI using DES may be a feasible therapeutic alternative.
The revascularization strategy is reviewed.

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Issue

Vol. 3 No. 1 sup (2008)

Section

Athens Cardiology Update 2008

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