{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:39:12Z","timestamp":1760027952292,"version":"3.40.5"},"reference-count":42,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,1,7]],"date-time":"2020-01-07T00:00:00Z","timestamp":1578355200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"National Cardiovascular Data Registry","award":["Research Proposal Application 405P"],"award-info":[{"award-number":["Research Proposal Application 405P"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study sought to define contemporary rates of drug eluting stent (DES) usage in patients with chronic kidney disease (CKD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Among patients with CKD undergoing percutaneous coronary interventions (PCIs), outcomes are superior for those who receive DES compared to those who receive bare metal stents (BMSs). However, perceived barriers may limit the use of DES in this population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All adult PCI cases from the NCDR CathPCI Registry involving coronary stent placement between July 1, 2009 and December 31, 2015 were analyzed. The rate of DES usage was then compared among four groups, stratified by CKD stage (I\/II, III, IV, and V). Subgroup analysis was conducted based on PCI status and indication. Cases were linked to Medicare claims data to assess 1\u2010year mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 3,650,333 PCI cases met criteria for analysis. DES usage significantly declined as renal function worsened (83.0%, 79.9%, 75.6%, and 75.6%, respectively, in the four CKD stages; <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). DES usage was universally lower across the four groups in the setting of ST\u2010Elevation Myocardial Infarction (STEMI) (70.6%, 66.5%, 58.7%, 58.0%; <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001) and higher in the setting of elective PCI (87.6%, 84.9%, 82.3%, 77.9%; <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.0001). DES was associated with improved 1\u2010year survival, and usage increased over time across each group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>DESs are underutilized in patients with advanced renal dysfunction. Although DES usage has increased over time, variation still exists between patients with normal renal function and those with CKD.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.28698","type":"journal-article","created":{"date-parts":[[2020,1,7]],"date-time":"2020-01-07T13:13:30Z","timestamp":1578402810000},"page":"1213-1221","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Stent selection among patients with chronic kidney disease: Results from the NCDR CathPCI Registry"],"prefix":"10.1002","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0803-2878","authenticated-orcid":false,"given":"Daniel A.","family":"Feldman","sequence":"first","affiliation":[{"name":"Section of Cardiology, Adventist Health Portland  Portland Oregon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3964-9619","authenticated-orcid":false,"given":"Adhir R.","family":"Shroff","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine, University of Illinois Chicago  Chicago Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haikun","family":"Bao","sequence":"additional","affiliation":[{"name":"Center for Outcomes Research and Evaluation Yale\u2010New Haven Health Services Corporation  New Haven Connecticut"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6872-0501","authenticated-orcid":false,"given":"Jeptha P.","family":"Curtis","sequence":"additional","affiliation":[{"name":"Center for Outcomes Research and Evaluation Yale\u2010New Haven Health Services Corporation  New Haven Connecticut"},{"name":"Section of Cardiovascular Medicine, Department of Internal Medicine Yale University School of Medicine  New Haven Connecticut"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karl E.","family":"Minges","sequence":"additional","affiliation":[{"name":"Center for Outcomes Research and Evaluation Yale\u2010New Haven Health Services Corporation  New Haven Connecticut"},{"name":"Section of Cardiovascular Medicine, Department of Internal Medicine Yale University School of Medicine  New Haven Connecticut"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amer K.","family":"Ardati","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine, University of Illinois Chicago  Chicago Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,1,7]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1159\/000111829"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.2174\/1573403X10666140214122234"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.108.828954"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.06.056"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.115.002069"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.116.003990"},{"issue":"1","key":"e_1_2_6_8_1","first-page":"10","article-title":"Drug\u2010eluting vs bare\u2010metal stents in patients with chronic kidney disease and coronary artery disease: insights from a systematic review and meta\u2010analysis","volume":"30","author":"Volodarskiy A","year":"2018","journal-title":"J Invasive Cardiol"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.04.017"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gft209"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2016.12.005"},{"key":"e_1_2_6_12_1","unstructured":"The National Cardiovascular Data Registry.https:\/\/cvquality.acc.org\/NCDR-Home. 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