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Background <p>Patients with chronic kidney disease (CKD) have a&#xa0;higher prevalence of structural heart diseases. Surgical treatment may be impossible due to comorbidities particularly in this collective. Procedures of interventional cardiology offer a&#xa0;treatment option.</p> Objective <p>Feasibility and indications for interventional treatment of structural heart diseases in patients with CKD. Presentation of treatment recommendations and approach for individual evaluation of indications.</p> Material and methods <p>Analysis of current guidelines and fundamental clinical trials.</p> Results <p>Interventional procedures are suitable not only for high-risk patients but also for patients with CKD. The risks of interventional procedures with respect to a deterioration of renal function are lower in comparison to comparable surgical procedures. Due to the special circumstances and comorbidities a&#xa0;precise analysis of the individual feasibility of the procedures is required.</p> Conclusion <p>Interventional procedures for structural heart diseases are a&#xa0;suitable treatment option for patients with CKD. A&#xa0;multidisciplinary approach involving cardiologists, cardiac surgeons and nephrologists is crucial to ensure the best possible treatment tailored to the individual patient.</p>

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Interventionelle Eingriffe bei strukturellen Herzerkrankungen

  • 期刊论文

  • 发表日期：

    2025年1月10日

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  • Niklas Lettmann,
  • Alexander Steger,
  • Tilman Ziegler,
  • Christian Kupatt

摘要

Background

Patients with chronic kidney disease (CKD) have a higher prevalence of structural heart diseases. Surgical treatment may be impossible due to comorbidities particularly in this collective. Procedures of interventional cardiology offer a treatment option.

Objective

Feasibility and indications for interventional treatment of structural heart diseases in patients with CKD. Presentation of treatment recommendations and approach for individual evaluation of indications.

Material and methods

Analysis of current guidelines and fundamental clinical trials.

Results

Interventional procedures are suitable not only for high-risk patients but also for patients with CKD. The risks of interventional procedures with respect to a deterioration of renal function are lower in comparison to comparable surgical procedures. Due to the special circumstances and comorbidities a precise analysis of the individual feasibility of the procedures is required.

Conclusion

Interventional procedures for structural heart diseases are a suitable treatment option for patients with CKD. A multidisciplinary approach involving cardiologists, cardiac surgeons and nephrologists is crucial to ensure the best possible treatment tailored to the individual patient.