Coronary interventions among patients with hepatic insufficiency: Encouragement to avoid a jaundiced view. Issue 4 (21st October 2020)

• Record Type: Journal Article
• Authors: Whiteside, Hoyle L.; Moliterno, David J.
• Is Part Of: Catheterization and cardiovascular interventions. Volume 96:Issue 4(2020)
• Page Start: 811
• Page End: 812
• Publication Date: 2020-10-21
• Subjects: Heart -- Diseases -- Diagnosis -- Periodicals; Cardiac catheterization -- Periodicals; 616.1207572
• DOI: 10.1002/ccd.29277
• Languages: English
• ISSNs: 1522-1946

Abstract

Key Points: This observational study from the National Inpatient Sample found a temporal increase in percutaneous coronary interventions (PCI) among patients with liver cirrhosis. In a propensity matched analysis, patients with underlying hepatic insufficiency demonstrated a predisposition to peri‐operative acute kidney injury and required greater resource allocation associated with higher in‐hospital mortality and costs. Despite a higher‐risk profile associated with chronic hepatic insufficiency, contemporary technologies and techniques for PCI, including drug‐eluting stents, should not be withheld from this population.