| Heart valve replacement for patients with end-stage renal disease in Japan. | |
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MedLine Citation:
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PMID: 20190702 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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There is some controversy regarding the choice of prosthetic valves in patients with heart disease and concomitant end-stage renal disease requiring chronic dialysis. Dialysis patients tend to have a short life expectancy. In Japan, the 1-year survival of the dialysis patients was 80% in the 1980s, but exceeds 85% in the 2000s. The 5-year survival has been 54%-60% for the past 20 years. In addition, the 10-year and 15-year survivals have been 35%-42% and 23%-31%, respectively. However, in the United States, the 5-year survival had only improved to 35% among patients who started dialysis between 1996 and 2000, and the life expectancies of chronic dialysis patients in their sixth, seventh and eighth decades is 5.3-6.2 years, 3.8-4.5 years, and 2.7-3.2 years, respectively. The life expectancy of dialysis patients in Japan is thus better than that of patients in the United States. Some surgeons prefer to use bioprosthetic valves because of a high rate of hemorrhagic complications in dialysis patients. They are hesitant to use anticoagulation therapy in dialysis patients with mechanical valves. Others prefer mechanical valves because of the potential for early structural dysfunction of bioprosthetic valves implanted in the dialysis patients with abnormal calcium metabolism, which can cause calcium deposition on the bioprosthetic valves during the early postoperative period. The life expectancy of dialysis patients in Japan is relatively high. The potential risk of early calcification of bioprosthetic valves should be taken into account when choosing prosthetic heart valves for these patients in Japan. |
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Authors:
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Yoshio Misawa |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Volume: 16 ISSN: 2186-1005 ISO Abbreviation: Ann Thorac Cardiovasc Surg Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-03-01 Completed Date: 2010-05-28 Revised Date: 2012-06-18 |
Medline Journal Info:
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Nlm Unique ID: 9703158 Medline TA: Ann Thorac Cardiovasc Surg Country: Japan |
Other Details:
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Languages: eng Pagination: 4-8 Citation Subset: IM |
Affiliation:
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Division of Cardiovascular Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anticoagulants
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therapeutic use Bioprosthesis Heart Valve Diseases / complications, mortality, surgery* Heart Valve Prosthesis Heart Valve Prosthesis Implantation* / adverse effects, instrumentation Humans Japan Kidney Failure, Chronic / complications*, mortality, therapy Life Expectancy Patient Selection Prosthesis Design Prosthesis Failure Renal Dialysis / adverse effects Time Factors Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Anticoagulants |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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