Research Article

Cardiovascular Outcomes in Patients on Hemodialysis following Drug-Eluting versus Bare-Metal Coronary Stents

Table 1

Demographic, clinical, and procedural characteristics of patients before the propensity match.

CharacteristicBMSDES value, DES versus BMS
()()

Women43 (32.09)151 (32.90)0.861
Age (years)67.54 ± 11.9066.26 ± 12.40.29
Race0.128
 White110 (82.09)360 (78.77)
 African American8 (5.97)47 (10.28)
 Hispanic7 (5.22)25 (5.47)
 OthersNA18 (3.94)
Insurance0.244
 Government93 (69.40)330 (71.90)
 CommercialNA60 (13.07)
 HMO24 (17.91)69 (15.03)
 No insuranceNA0 (0.00)
Past medical history
 Prior MI53 (39.55)218 (47.49)0.105
 CHF58 (43.28)182 (39.65)0.452
 Diabetes77 (57.46)306 (66.67)0.05
 Cerebrovascular disease42 (31.34)94 (20.48)0.015
 Peripheral vascular disease54 (40.30)192 (41.83)0.752
 Chronic lung disease24 (17.91)100 (21.79)0.333
 Hypertension126 (94.03)428 (93.25)0.748
 Dyslipidemia111 (82.84)362 (78.87)0.315
 Family history of CAD32 (23.88)132 (28.76)0.268
 Prior PCI23 (17.16)127 (27.67)0.007
 Prior CABG40 (29.85)115 (25.05)0.267
 Current smoker18 (13.43)56 (12.20)0.705
 Former smoker73 (54.48)242 (52.72)0.721
 Never smoked43 (32.09)161 (35.08)0.523
Presentation0.111
 ST-elevation MI17 (12.69)30 (6.54)
 Non-ST-elevation MI43 (32.09)157 (34.20)
 Unstable angina30 (22.39)112 (24.40)
 Stable angina11 (8.21)54 (11.76)
Noninvasive test outcome0.44
 No test40 (29.85)170 (37.04)
 Positive74 (55.22)228 (49.67)
 Negative11 (8.21)38 (8.28)
 Equivocal9 (6.72)23 (5.01)
Congestive heart failure58 (43.28)143 (31.15)0.009
NYHA classification0.724
 323 (17.16)50 (10.89)
 425 (18.66)57 (12.42)
PCI status0.298
 Elective44 (32.84)171 (37.25)
 Urgent69 (51.49)241 (52.51)
 Emergency20 (14.93)46 (10.02)
Left ventricular ejection fraction <30%37 (27.61)133 (28.98)0.759
Number of vessels with lesions >50%0.851
 1114 (85.07)385 (83.88)
 219 (14.18)68 (14.81)
 ≥3NANA
Proximal LAD disease16 (11.94)87 (18.95)0.038
Left main disease7 (5.22)20 (4.36)0.673
High-risk lesion complexity57 (42.54)172 (37.47)0.29
Number of vessels intervened on1.16 ± 0.381.18 ± 0.420.589
Number of stents used, total1.48 ± 0.831.64 ± 0.990.045
 Per lesion1.16 ± 0.581.16 ± 0.560.924
 Per vessel0.37 ± 0.210.41 ± 0.250.045
Periprocedural medications
 Thrombin inhibitors-bivalirudin20 (25.64)80 (30.42)0.417
 Heparin60 (44.78)205 (44.66)0.981
 ASA126 (94.03)453 (98.69)0.03
 Clopidogrel75 (55.97)275 (59.91)0.415
 Glycoprotein IIb/IIIa inhibitor use15 (11.19)76 (16.56)0.099

Continuous variables are expressed as mean ± standard deviation and categorical variables as number (percentage); BMS, bare-metal stent; DES, drug-eluting stent; MI, myocardial infarction; CHF, congestive heart failure; CAD, coronary artery disease; PCI, percutaneous coronary intervention; CABG, coronary artery bypass graft; NYHA, New York Heart Association; unfractionated and low molecular weight heparin.