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(Circulation. 2004;109:e9050-e9051.)
© 2004 American Heart Association, Inc.

Cardiovascular News

Ruth SoRelle, MPH

Circulation Newswriter

An extract of the first 250 words of the full text is provided, because this article has no abstract.

Renal Transplant Patient Survival Similar After CABG, PCI

A retrospective study in this week’s issue of the journal Circulation (Circulation. 2004;109:2866–2871) found comparable survival rates after coronary artery bypass graft surgery and percutaneous intervention in patients who have had a kidney transplantation.

In this study, led by Charles A. Herzog, MD, of the Cardiovascular Special Studies Center, United States Renal Data System in Minnesota and the University of Minneapolis in Minnesota, researchers analyzed data from the records of renal transplant recipients who underwent a coronary revascularization procedure for the first time between 1995 and 1999. They found that the mortality rate was 2.3% among the 909 stent patients, 4.3% among the 652 percutaneous transluminal angioplasty patients, 9.4% among the 288 coronary artery bypass patients who did not receive the internal mammary graft, and 5% among the 812 bypass patients who did receive the internal mammary artery graft. At 2 years, the survival rate was 82.5% for stent patients, 81.6% for percutaneous transluminal angioplasty patients, 74.4% for coronary artery bypass patients who did not receive the internal mammary artery graft, and 82.7% for those bypass patients who did receive the internal mammary artery graft. There was no significant difference in the relative risks of all-cause and cardiac death among the different groups, the researchers concluded.

"We conclude that renal transplant recipients have comparable long-term survival after surgical and percutaneous coronary revascularization procedures. Our data suggest that the most favorable long-term outcome (after adjustment for comorbid conditions) is associated with CAB [coronary artery bypass] surgery. Any definitive conclusion . . . [Full Text of this Article]