{
  "abstract": "BACKGROUND: Chronic kidney disease is associated with an increased incidence of stent thrombosis (ST) following drug-eluting stent (DES) implantation, but the clinical outcomes after DES-ST in hemodialysis (HD) patients compared with non-HD patients have not been fully elucidated. METHODS AND RESULTS: From the REAL-ST registry, we evaluated 655 patients with DES-ST, divided into 2 groups: HD group (n=59) and non-HD group (n=596). The primary endpoint was the cumulative 3-year incidence of all-cause death after the index ST event. Late ST was more prevalent in the HD group, whereas early and very late ST were common in the non-HD group. Following the index ST event, the HD group showed significantly higher 3-year incidences of all-cause death (48.2% vs. 22.9%, P=0.0005), cardiac death (33.4% vs.15.8%, P=0.003) and target lesion revascularization (TLR: 36.2% vs. 17.5%, P=0.0002) compared with the non-HD group. The cumulative 3-year incidence of recurrent ST did not differ significantly between groups (7.3% vs. 5.9%, P=0.88). After multivariable adjustment, HD remained significantly associated with an increased risk of all-cause death (adjusted hazard ratio [aHR], 1.95; 95% confidence interval [CI], 1.25-3.04; P=0.003), cardiac death (aHR, 1.75; 95% CI, 1.02-2.99; P=0.04) and TLR (aHR, 2.63; 95% CI, 1.52-4.57; P<0.001). CONCLUSIONS: Compared with non-HD patients, HD patients experienced worse clinical outcomes following their index DES-ST event.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 14,
  "authors": [
    {
      "name": "Yosuke Kakimoto"
    },
    {
      "name": "Masahiro Natsuaki"
    },
    {
      "name": "Koichi Node"
    },
    {
      "name": "Hiromasa Otake"
    },
    {
      "name": "Futoshi Yamanaka"
    },
    {
      "name": "Kazunori Horie"
    },
    {
      "name": "Hiroki Shiomi"
    },
    {
      "name": "Gaku Nakazawa"
    },
    {
      "name": "Kenji Ando"
    },
    {
      "name": "Kazushige Kadota"
    },
    {
      "name": "Shigeru Saito"
    },
    {
      "name": "Takeshi Kimura"
    },
    {
      "name": "Shoichi Kuramitsu"
    },
    {
      "name": "on behalf of the REAL-ST Registry Investigators"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/fcmzf6g4z2fm8.bib",
  "cited_by": 0,
  "doi": "10.1253/circj.cj-26-0034",
  "fulltext_url": "https://www.jstage.jst.go.jp/article/circj/90/8/90_CJ-26-0034/_article",
  "id": "fcmzf6g4z2fm8",
  "issns": [
    "1347-4820",
    "1346-9843"
  ],
  "landing_url": "https://www.jstage.jst.go.jp/article/circj/90/8/90_CJ-26-0034/_article",
  "language": null,
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "jstage-journal",
      "medicine/cardiovascular"
    ],
    [
      "openalex",
      "2746|Coronary Interventions and Diagnostics"
    ]
  ],
  "openalex": "W7164826394",
  "pdf_url": "https://www.jstage.jst.go.jp/article/circj/advpub/0/advpub_CJ-26-0034/_pdf",
  "pmcid": null,
  "pmid": null,
  "published": "2026-07-24",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/fcmzf6g4z2fm8.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:24Z",
      "native_id": "10.1253/circj.cj-26-0034",
      "source": "jstage",
      "url": "https://www.jstage.jst.go.jp/article/circj/90/8/90_CJ-26-0034/_article"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Coronary Interventions and Diagnostics",
      "subfield": "surgery"
    }
  ],
  "title": "Clinical Outcomes After Drug-Eluting Stent Thrombosis in Patients on Hemodialysis ― Insights From the REAL-ST Registry ―",
  "title_text": "Clinical Outcomes After Drug-Eluting Stent Thrombosis in Patients on Hemodialysis ― Insights From the REAL-ST Registry ―",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:17:24Z",
  "url": "https://research.draconitic.com/paper/fcmzf6g4z2fm8",
  "venue": "Circulation Journal",
  "versions": []
}