Research Article

Rotablation in Patients with Advanced Renal Insufficiency through End-Stage Renal Disease: Short- and Intermediate-Term Results

Table 4

Clinical outcomes of rotational atherectomy in patients with CR < 5 mg/d and CR ≥ 5 mg/dl through ESRD.

VariablesGroup AGroup B value
(CR < 5 mg/dl)(CR ≥ 5 mg/dl through ESRD)
N = 338N = 73

In-hospital
 MACE (N, %)21 (6.2%)10 (13.7%)0.028
 CV MACE (N, %)17 (5.0%)5 (6.8%)0.531
 Death (N, %)18 (5.3%)9 (12.3%)0.029
 CV death (N, %)13 (3.8%)4 (5.5%)0.525
 Fatal MI (N, %)1 (0.3%)1 (1.4%)0.232
 Nonfatal MI (N, %)3 (0.9%)00.419
 Stent thrombosis (N, %)1 (0.3%)00.642
 Stroke (N, %)1 (0.3%)00.642
 TLR (N, %)00N/A
 TVR (N, %)2 (0.6%)1 (1.4%)0.479
30-day
 MACE (N, %)30 (8.9%)11 (15.1%)0.111
 CV MACE (N, %)23 (6.8%)7 (9.6%)0.411
 Death (N, %)24 (7.1%)9 (12.3%)0.138
 CV death (N, %)16 (4.7%)5 (6.8%)0.460
 Fatal MI (N, %)1 (0.3%)1 (1.4%)0.233
 Nonfatal MI (N, %)3 (0.9%)00.418
 Stent thrombosis (N, %)3 (0.9%)00.418
 Stroke (N, %)2 (0.6%)00.509
 TLR (N, %)2 (0.6%)1 (1.4%)0.480
 TVR (N, %)4 (1.2%)2 (2.7%)0.317
90-day
 MACE (N, %)47 (13.9%)16 (21.9%)0.089
 CV MACE (N, %)34 (10.1%)11 (15.1%)0.221
 Death (N, %)32 (9.5%)10 (13.7%)0.287
 CV death (N, %)18 (5.3%)5 (6.8%)0.616
 Fatal MI (N, %)1 (0.3%)1 (1.4%)0.234
 Nonfatal MI (N, %)5 (1.5%)1 (1.4%)0.939
 Stent thrombosis (N, %)3 (0.9%)00.418
 Stroke (N, %)2 (0.6%)00.509
 TLR (N, %)9 (2.7%)4 (5.5%)0.216
 TVR (N, %)12 (3.6%)6 (8.2%)0.079
180-day
 MACE (N, %)73 (21.6%)27 (37.0%)0.006
 CV MACE (N, %)54 (16.0%)21 (28.8%)0.011
 Death (N, %)47 (13.9%)12 (16.4%)0.589
 CV death (N, %)25 (7.4%)5 (6.8%)0.861
 Fatal MI (N, %)2 (0.6%)2 (2.7%)0.091
 Nonfatal MI (N, %)8 (2.4%)2 (2.7%)0.857
 Stent thrombosis (N, %)3 (0.9%)00.418
 Stroke (N, %)3 (0.9%)00.418
 TLR (N, %)21 (6.2%)13 (17.8%)0.001
 TVR (N, %)26 (7.7%)15 (20.5%)0.001
1-year
 MACE (N, %)96 (28.4%)35 (47.9%)0.001
 CV MACE (N, %)65 (19.2%)27 (37.0%)0.001
 Death (N, %)65 (19.2%)18 (24.7%)0.306
 CV death (N, %)26 (7.7%)7 (9.6%)0.599
 Fatal MI (N, %)4 (1.2%)4 (5.5%)0.016
 Nonfatal MI (N, %)10 (3.0%)3 (4.1%)0.617
 Stent thrombosis (N, %)4 (1.2%)00.349
 Stroke (N, %)3 (0.9%)1 (1.4%)0.707
 TLR (N, %)31 (9.2%)17 (23.3%)0.001
 TVR (N, %)37 (10.9%)20 (27.4%)<0.001

CR, creatinine; CV, cardiovascular; ESRD, end-stage renal disease; MACE, major adverse cardiovascular event; MI, myocardial infarction; TLR, target lesion revascularization; TVR, target vessel revascularization.