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Chinese Journal of Blood Purification ›› 2005, Vol. 4 ›› Issue (9) : 497-499.

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Abstract

Objective To investigate the possibility of coronary revascularization in uremic patients on dialysis. Methods Four uremic patients were treated successfully with percutaneous transluminal coronary angioplasty and stenting. In order to minimize the adverse effect on kidney due to contrast, non-ionic and low-osmolar contrast medium was used and coronary angiography were performed on the bas's of frequent dialysis and fluid administration. Result Coronary angiography showed that two patients have multiple vessels lesion, four stents were placed. An arteriomyomatosis was blocked in one patient. After operation angina pectoris disappeared and no deterioration of renal function was noted. Conclusion It is possible to perform coronary angiography, PTCA and stenting successfully in uremic patients on hemodialysis successfully, provided due attention was paid to the choice of contrast medium and protective measures for renal function.