ジュウジョウ　ケンタロウ   JUJO Kentaro   重城　健太郎    所属   埼玉医科大学  医学部 総合医療センター　心臓内科    職種   教授
論文種別	学術雑誌(原著)
言語種別	英語
査読の有無	査読なし
表題	Long-term cardiovascular prognosis after rotational atherectomy in hemodialysis patients: Data from the J2T multicenter registry.
掲載誌名	正式名：International journal of cardiology
巻・号・頁	285,14-20頁
著者・共著者	Kentaro Jujo,Hisao Otsuki,Kazuki Tanaka,Noritoshi Fukushima,Iwao Okai,Makoto Nakashima,Tomotaka Dohi,Shinya Okazaki,Ryuta Okabe,Fukuko Nagura,Yugo Nara,Hideyuki Kawashima,Hiroyuki Kyono,Hiroyuki Arashi,Junichi Yamaguchi,Hiroshi Tamura,Takeshi Kurata,Katsumi Miyauchi,Ken Kozuma,Hiroyuki Daida,Nobuhisa Hagiwara
発行年月	2019/06
概要	BACKGROUND: Hemodialysis (HD) patients have heavy calcium deposits in their stenotic coronary arteries and worse post-percutaneous coronary intervention (PCI) prognoses than those who do not undergo HD. Rotational atherectomy (RA) facilitates PCI success in severely calcified lesions. We aimed to identify clinical and procedural characteristics that predict HD patients' long-term prognoses after PCI that included RA in the drug-eluting stent (DES) era. METHODS: This study included 302 patients who underwent regular HD from J2T Multicenter Registry database of 1090 consecutive patients who underwent RA to treat de novo calcified lesions at three university hospitals between 2004 and 2015. The primary endpoint was cardiovascular (CV) death. RESULTS: During the 5-year observation period, 59 CV deaths (19.5%) occurred. The CV death group and non-CV death group hadcomparable profiles except significantly lower left ventricular ejection fraction, higher brain natriuretic peptide (BNP), lower rate of RA burr upsizing, and lower rate of final thrombolysis in myocardial infarction (TIMI) 3 flow achievement in the CV death group. Cox regression analysis revealed that increasing ablation bur
DOI	10.1016/j.ijcard.2019.03.022
PMID	30904279