7. Myocardial revascularisation strategy

Coronary disease in patients with advanced kidney disease

ISCHEMIA CKD
Objective
to compare an invasive strategy (angiography +/- revascularisation + OMT) versus a conservative strategy (OMT) in patients with advanced chronic kidney disease
Study
prospective, multicentre, assessor-blinded, randomised trial
Population
patients with advanced CKD + moderate-to-severe- ischaemia
Endpoints
composite of death or nonfatal myocardial infarction
ISCHEMIA CKD
ISCHEMIA CKD
Conclusion
In patients with stable CAD, advanced CKD and moderate or severe ischaemia an invasive strategy was not superior to a conservative strategy
Bangalore et al. N Eng J Med. 2020;382:1608-18
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