Renal Revascularization in Diabetics: Few Facts, Firm Convictions, Forward Momentum

摘要

In this issue of CCI, Silva et al. provide an unusual and much needed insight into the outcomes of diabetic chronic kidney disease patients treated with renal artery stent placement . The landscape of this disease is vast. There are 8.6 million Americans over the age of 60 suffering from diabetes mellitus-more than 18% of this older population-and diabetes in 2001 was reported by the Centers for Disease Control as being responsible for 44% of all newly diagnosed cases of End Stage Renal Disease (ESRD) . Up to 10% of diabetics have RAS detected at autopsy , and diabetics with ESRD have the worse prognosis of any dialysis dependent patient group, with an annualized mortality of almost 30% . Even relatively modest 10 mm Hg reductions in systolic blood pressure in these individuals can reduce cardiovascular complications by 12% .