coronary heart disease complicated with moderate renal impairment
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Older than 18 years; 2. Indications for coronary angiography; 3. Preoperative renal function staging was calculated as 15-60 mL /min/1.73m2 according to creatinineclearance (CrCl); 4. Indications of PCI after coronary angiography; 5. There are indications for coronary artery bypass grafting.
Exclusion criteria
Exclusion criteria: 1. Acute renal insufficiency; 2. Patients dependent on hemodialysis or peritoneal dialysis; 3. Acute ST-segment elevation myocardial infarction requires emergency PCI; 4. EF value of left ventricular systolic function is less than 40%; 5. Patients with NewYorkHeartAssociation (NYHA) heart function grading III-IV or Killip grading III-IV; 6. Patients are using diuretics; 7. Co-infection; 8. Recent use of non-steroidal anti-inflammatory drugs; 9. After kidney transplantation; 10. Used contrast agent within 3 weeks before admission; 11. Deep vein thrombosis of lower limbs; 12. Those who are receiving anticoagulation treatment; 13. Abnormal coagulation system; 14. Platelet is lower than the lower limit of normal value; 15. Patients who are pregnant, breast-feeding or planning to become pregnant; 16. There are contraindications to coronary intervention therapy; 17. The subject is participating in clinical trials of other drugs or medical devices; 18. Moderate to severe cognitive impairment and no long-term fixed custodian; 19. Patients considered unsuitable for the study by the investigator.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Serum creatinine; | — |
Secondary
| Measure | Time frame |
|---|---|
| Routine blood;Serum troponin T;Urinary N-acetyl ß-D glucosaminidase; | — |
Countries
China
Contacts
Nanjing Drum Tower Hospital, Medical School of Nanjing University