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Background: Patients with kidney transplantation (KT) may represent a particularly high-risk group for possibly poor outcomes after acute myocardial infarction (AMI). Our objective was to evaluate contemporary outcomes and complications of AMI in patients with KT requiring percutaneous coronary intervention (PCI).
Methods: Subjects were obtained from the NIS database. ICD-9-CM procedure codes were used to identify all patients with a history of KT treated with PCI for AMI between years 2002-2013. Propensity score matching was used to adjust for baseline confounders.
Results: Among 3,445,430 patients undergoing PCI for AMI, 5,834 (0.16%) had a history of KT. KT patients were more likely to be younger with a history of hypertension and diabetes and more likely to receive a drug eluting stent during PCI (p<0.0001). Unadjusted hospital all-cause mortality, procedure-related complications, with the exception for vascular complications, length of stay and cost of hospitalization were significantly increased in the transplantation cohort (p<0.0001). However, after propensity score adjustment, in-hospital all-cause mortality, blood transfusion rates and vascular complications were similar between the two groups. (Table 1)
Conclusions: Patients with a history of KT, undergoing PCI for AMI, have comparable in-hospital all-cause mortality, blood transfusion rates and vascular complications to those without, but significantly increased incidence of acute kidney injury and stroke.
Poster Contributions Poster Hall, Hall C
Saturday, March 18, 2017, 3:45 p.m.-4:30 p.m.
Session Title: Timely Topics in Acute Coronary Syndromes
Abstract Category: 15. Interventional Cardiology: ACS/AMI/Hemodynamics and Pharmacology
Presentation Number: 1242-158
- 2017 American College of Cardiology Foundation