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[Management of renal failure in old patients undergoing percutaneous cardiac interventions]

P Aubry1, H Demian2

  • 1Département de cardiologie, groupe hospitalier Bichat-Claude-Bernard, Assistance publique des hôpitaux de Paris, 46, rue Henri-Huchard, 75018 Paris, France; Service de cardiologie, centre hospitalier de Gonesse, 95500 Gonesse, France.

Annales De Cardiologie Et D'Angeiologie
|November 3, 2018
PubMed

Insights

Elderly patients gain from interventional cardiology for heart conditions, even with comorbidities. Kidney protection strategies are crucial to mitigate risks like contrast-induced nephropathy during cardiac procedures.

Area of Science:

  • Geriatric cardiology
  • Interventional cardiology
  • Nephrology

Background:

  • Interventional cardiology advances benefit elderly patients with coronary artery disease and aortic valve stenosis.
  • High comorbidity prevalence in the elderly necessitates careful benefit-risk assessment.
  • Chronic kidney disease (CKD) increases risks of contrast-induced nephropathy and acute kidney injury.

Purpose of the Study:

  • To evaluate the positive benefit-risk balance of interventional cardiology in the elderly.
  • To highlight the impact of CKD on outcomes and costs in elderly cardiac patients.
  • To emphasize the need for renal protective strategies in this population.

Main Methods:

  • Review of current interventional cardiology practices in elderly patients.
  • Analysis of outcomes in elderly patients with and without chronic kidney disease.
  • Assessment of preventive strategies for renal adverse events.

Main Results:

  • Interventional cardiology offers significant benefits to the elderly despite comorbidities.
  • Chronic kidney disease exacerbates risks and negatively impacts clinical course and outcomes.
  • Effective preventive strategies are essential for limiting renal adverse events.

Conclusions:

  • Interventional cardiology remains beneficial for elderly patients with cardiovascular conditions.
  • Management of chronic kidney disease is critical to improve outcomes and reduce costs.
  • Future research should focus on vulnerable elderly populations undergoing cardiac interventions.

Keywords:
Acute renal injuryContrast mediaContrast media-induced nephrotoxicityCoronary and valvular interventionsImpaired renal functionInsuffisance rénaleInsuffisance rénale aiguëInterventions cardiaques percutanéesNéphrotoxicité induiteOld populationProduit de contraste iodéSujet âgé

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