scholarly journals Contrast Induced Nephropathy and Long-term Renal Decline After Percutaneous Transluminal Angioplasty for Symptomatic Peripheral Arterial Disease

2016 ◽  
Vol 63 (4) ◽  
pp. 1129-1130
Author(s):  
T.A. Sigterman ◽  
A.G. Krasznai ◽  
M.G. Snoeijs ◽  
R. Heijboer ◽  
G.W.H. Schurink ◽  
...  
Keyword(s):  
Peripheral Arterial Disease ◽  
Percutaneous Transluminal Angioplasty ◽  
Arterial Disease ◽  
Transluminal Angioplasty ◽  
Contrast Induced Nephropathy ◽  
Peripheral Arterial ◽  
Percutaneous Transluminal

scholarly journals Initial Diastolic Dysfunction is a Powerful Predictor of 5-year Mortality in Peripheral Arterial Disease Patients undergoing Percutaneous Transluminal Angioplasty

2020 ◽  
Author(s):  
Kyung-Hee Kim ◽  
Seung Woon Rha ◽  
Byoung Geol Choi ◽  
Jae-Kyung Byun ◽  
Woohyeun Kim ◽  
...  
Keyword(s):  
Peripheral Arterial Disease ◽  
Percutaneous Transluminal Angioplasty ◽  
Independent Predictor ◽  
Arterial Disease ◽  
Transluminal Angioplasty ◽  
Total Death ◽  
Peripheral Arterial ◽  
Percutaneous Transluminal ◽  
Long Term Mortality

Abstract Background Peripheral arterial disease (PAD) and heart failure share common risks and are associated with increased morbidity and mortality. However, it is unknown whether cardiac function can be an independent predictor of long-term mortality in patients with PAD. Methods In total, 902 patients who underwent percutaneous transluminal angioplasty for PAD were enrolled. The patients were categorized into three groups according to the left ventricular ejection fraction (LVEF): reduced EF (< 40%, n = 62); mid-range EF (40–49%, n = 76); and preserved EF (≥ 50%, n = 764). Echocardiographic (EF, ratio of mitral inflow velocity to annular velocity E/eʹ ≥ 15, and others) and clinical parameters were tested using stepwise logistic regression analysis to determine independent predictors of 5-year mortality. Results A higher proportion of patients with reduced EF had ischemic heart disease than those with preserved EF (77.4% vs. 56.8%, p < 0.001). Up to 5 years, patients with reduced EF and mid-range EF showed a higher incidence of total death than those with normal EF. However, there was no difference in the incidence of myocardial infarction, stroke, and revascularization among the three groups. After multivariable adjustment, the ratio of E/eʹ ≥ 15 was the only strong predictor of total mortality (hazard ratio, 6.14; 95% confidence interval, 3.7–10.1;p < 0.01). Conclusion Patients with PAD and reduced EF undergoing PTA had a higher incidence of total death during the 5-year follow-up. Initial tissue Doppler E/eʹ ≥ 15, a non-invasive estimate of left atrial filling pressure, was the only independent predictor of long-term mortality.

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