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	査読あり
表題	Clinical outcome and its predictors in hemodialysis patients with critical limb ischemia undergoing endovascular therapy
掲載誌名	正式名：JOURNAL OF INTERVENTIONAL CARDIOLOGY ISSNコード：08964327
出版社	WILEY
巻・号・頁	30(4),374-381頁
著者・共著者	Shohei Kataoka,Junichi Yamaguchi,Masashi Nakao,Kentaro Jujo,Nobuhisa Hagiwara
発行年月	2017/08
概要	ObjectivesThis study aimed to examine prognosis and causes of death in hemodialysis (HD) patients with critical limb ischemia (CLI) after endovascular therapy (EVT).BackgroundEVT is becoming a first-line treatment in patients with CLI. Nonetheless, only a few studies have examined prognosis and its predictors in HD patients with CLI undergoing EVT, who are known to be at high-risk. Moreover, causes of death in this population are not clarified to date.MethodsWe examined 175 consecutive patients who underwent EVT for CLI between March 2009 and March 2014.ResultsAmong these, 126 patients were dependent on HD and their 2-year all-cause death and 2-year major amputation rates were 28% and 14%, respectively. Cox proportional hazards analyses revealed that lower body mass index (hazard ratio [HR]=0.89, 95% confidence interval [CI]=0.82-0.98, P=0.03) and prior stroke (HR=2.34, 95%CI=1.10-4.85, P=0.03) were independent predictors of all-cause death, and lower serum albumin (HR=0.44, 95%CI=0.22-0.92, P=0.03) along with currently smoking (HR=4.73, 95%CI=1.43-14.1, P=0.01) were independent predictors of major amputation in HD patients. The leading cause of death in this population was infe
DOI	10.1111/joic.12393