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Percutaneous Coronary Intervention Versus Optimal Medical Therapy for Stable Angina in Advanced CKD: A Decision Analysis

机译：经皮冠状动脉介入治疗对晚期CKD稳定型心绞痛的最佳药物治疗：决策分析

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BackgroundUtilization of percutaneous coronary intervention (PCI) is low in the setting of stable symptomatic angina in individuals with advanced chronic kidney disease (CKD) despite high cardiovascular risk in this population, and PCI is frequently deferred out of concern of precipitating dialysis. Whether this is appropriate is uncertain, and patient-centered data comparing the relative risks and benefits of continued medical therapy vs PCI in patients with advanced CKD and stable angina is scarce.

机译：背景技术尽管该人群有较高的心血管风险，但在患有晚期慢性肾脏病（CKD）的患者中，在稳定症状性心绞痛的发生率中，经皮冠状动脉介入治疗（PCI）的使用率较低，并且由于考虑到透析的原因，通常将PCI推迟使用。是否合适还不确定，以患者为中心的数据比较了晚期CKD和稳定型心绞痛患者继续药物治疗与PCI相对风险和获益的情况尚缺乏。

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期刊名称 other
作者
Aisha Khattak; Ernest I. Mandel; Matthew R. Reynolds; David M. Charytan;
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作者单位

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年(卷),期 -1(69),3
年度 -1
页码 350–357
总页数 19
原文格式 PDF
正文语种
中图分类
关键词
percutaneous coronary intervention (PCI) advanced renal failure chronic kidney disease (CKD) cardiovascular intervention contrast nephropathy contrast-induced nephropathy (CIN) stable angina medical management quality of life quality-adjusted life-year (QALY) hemodialysis catheter infection death mortality therapeutic nihilism decision model;

机译：经皮冠状动脉介入治疗（PCI）;晚期肾功能衰竭;慢性肾脏病（CKD）;心血管疾病干预;对比肾病;对比诱发肾病（CIN）;稳定型心绞痛;医疗管理;生活质量;质量调整生命年（QALY））;血液透析;导管感染;死亡;死亡率;虚无治疗;决策模型;

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专利

1. Percutaneous Coronary Intervention Versus Optimal Medical Therapy for Stable Angina in Advanced CKD: A Decision Analysis [J] . Khattak Aisha, Mandel Ernest I., Reynolds Matthew R., American Journal of Kidney Diseases: The official journal of the National Kidney Foundation . 2017,第3期

机译：经皮冠状动脉干预与高级CKD中稳定心绞痛的最佳医疗治疗：决策分析
2. Comparison of clinical outcomes following percutaneous coronary intervention versus optimal medical therapy based on gray-zone fractional flow reserve in stable angina patients with intermediate coronary artery stenosis (COMFORTABLE prospective study): Study protocol for a multicenter randomized controlled trial [J] . Hironori Kitabata, Takashi Kubo, Yasutsugu Shiono, Trials . 2019,第1期

机译：经皮冠状动脉介入后临床结果对稳定冠状动脉狭窄（舒适前瞻性研究）临床冠状动脉介入性与灰区分数流量储备的最优医疗疗法（舒适的前瞻性研究）：多中心随机对照试验
3. Percutaneous coronary intervention with optimal medical therapy vs. optimal medical therapy alone for patients with stable angina pectoris [J] . Vitali Gorenoi, Matthias P. Sch?nermark, Anja Hagen GMS Health Technology Assessment . 2011,第1期

机译：稳定型心绞痛患者的最佳药物治疗与单独最佳药物治疗的经皮冠状动脉介入治疗
4. Evaluating the risk of a rescue percutaneous coronary intervention after thrombolysis therapy: A decision tree approach [C] . Lagani V., Ceravolo R., Vatrano M., Computers in Cardiology, 2008 . 2008

机译：溶栓治疗后评估急诊经皮冠状动脉介入治疗的风险：决策树方法
5. The Association between Unfractionated Heparin and Bivalirudin Used during Percutaneous Coronary Intervention for Stable Angina and Acute Coronary Syndromes and the In-Hospital and Mortality Outcomes Observed across All Body Mass Index Groups [D] . Chen, Christine. 2021

机译：在所有体重指数群体中观察到稳定冠状动脉干预期间使用经皮冠状动脉介入和急性冠状动脉综合征的冠状动脉介入和医院和死亡率结果之间的联合肝素和Bivalirudin之间的关联
6. Comparison of clinical outcomes following percutaneous coronary intervention versus optimal medical therapy based on gray-zone fractional flow reserve in stable angina patients with intermediate coronary artery stenosis (COMFORTABLE prospective study): Study protocol for a multicenter randomized controlled trial [O] . Hironori Kitabata, Takashi Kubo, Yasutsugu Shiono, 2019

机译：稳定型心绞痛合并冠状动脉狭窄的心绞痛患者经皮冠状动脉介入治疗与基于灰区分流量储备的最佳药物治疗后的临床结局比较（COMFORTABLE前瞻性研究）：一项多中心随机对照试验的研究方案
7. Comparison of clinical outcomes following percutaneous coronary intervention versus optimal medical therapy based on gray-zone fractional flow reserve in stable angina patients with intermediate coronary artery stenosis (COMFORTABLE prospective study): Study protocol for a multicenter randomized controlled trial [O] . Hironori Kitabata, Takashi Kubo, Yasutsugu Shiono, 2019

机译：经皮冠状动脉介入后临床结果对稳定冠状动脉狭窄（舒适前瞻性研究）临床冠状动脉介入性与灰区分数流量储备的最优医疗疗法（舒适的前瞻性研究）：多中心随机对照试验的研究方案

Percutaneous Coronary Intervention Versus Optimal Medical Therapy for Stable Angina in Advanced CKD: A Decision Analysis

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