Citation
Kolte, Dhaval, et al. "Association of Radial Versus Femoral Access With Contrast-induced Acute Kidney Injury in Patients Undergoing Primary Percutaneous Coronary Intervention for ST-elevation Myocardial Infarction." Cardiovascular Revascularization Medicine : Including Molecular Interventions, vol. 17, no. 8, 2016, pp. 546-551.
Kolte D, Spence N, Puthawala M, et al. Association of radial versus femoral access with contrast-induced acute kidney injury in patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction. Cardiovasc Revasc Med. 2016;17(8):546-551.
Kolte, D., Spence, N., Puthawala, M., Hyder, O., Tuohy, C. P., Davidson, C. B., Sheldon, M. W., Laskey, W. K., & Abbott, J. D. (2016). Association of radial versus femoral access with contrast-induced acute kidney injury in patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction. Cardiovascular Revascularization Medicine : Including Molecular Interventions, 17(8), 546-551. https://doi.org/10.1016/j.carrev.2016.07.008
Kolte D, et al. Association of Radial Versus Femoral Access With Contrast-induced Acute Kidney Injury in Patients Undergoing Primary Percutaneous Coronary Intervention for ST-elevation Myocardial Infarction. Cardiovasc Revasc Med. 2016;17(8):546-551. PubMed PMID: 27566903.
TY - JOUR
T1 - Association of radial versus femoral access with contrast-induced acute kidney injury in patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction.
AU - Kolte,Dhaval,
AU - Spence,Nathan,
AU - Puthawala,Mohamedtauqir,
AU - Hyder,Omar,
AU - Tuohy,Christopher P,
AU - Davidson,Carolyn B,
AU - Sheldon,Mark W,
AU - Laskey,Warren K,
AU - Abbott,J Dawn,
Y1 - 2016/07/21/
PY - 2016/06/29/received
PY - 2016/07/18/accepted
PY - 2016/8/28/pubmed
PY - 2017/2/28/medline
PY - 2016/8/28/entrez
KW - Acute kidney injury
KW - Percutaneous coronary intervention
KW - Radial artery
KW - ST-elevation myocardial infarction
SP - 546
EP - 551
JF - Cardiovascular revascularization medicine : including molecular interventions
JO - Cardiovasc Revasc Med
VL - 17
IS - 8
N2 - BACKGROUND: Patients with ST-elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI) are at an increased risk of developing contrast-induced acute kidney injury (CI-AKI). Data on the association between transradial (TRA) vs. transfemoral (TFA) access and the risk of CI-AKI in this setting are limited. METHODS: We analyzed data on 1162 patients undergoing primary PCI for STEMI at two tertiary care centers between 2010 and 2014. Primary outcome was CI-AKI, defined as a relative rise in serum creatinine of ≥25%, or an absolute increase of ≥0.5mg/dL, within 48h of primary PCI. We used multivariable logistic regression and propensity analysis to determine the association between vascular access site and CI-AKI. RESULTS: Of 1162 patients who underwent primary PCI for STEMI, TFA was used in 857 (73.8%), and TRA in 305 (26.2%) patients. In the unmatched cohort, TRA was associated with numerically lower rates of CI-AKI as compared with TFA; however, this difference did not reach statistical significance (5.9% vs. 7.0%; unadjusted OR 0.83, 95%CI 0.48-1.44, p=0.510; adjusted OR 0.84, 95%CI 0.44-1.62, p=0.610). Similar results were seen in a propensity matched cohort of 508 patients (254 TRA and 254 TFA; CI-AKI 5.5% vs. 8.3%, OR 0.65, 95% CI 0.32-1.30, p=0.220). CONCLUSIONS: In patients with STEMI undergoing primary PCI, TRA was not associated with a lower risk of CI-AKI, as compared with TFA. Randomized controlled trials are needed to definitely assess the role of vascular access site in reducing the risk of CI-AKI in patients undergoing primary PCI for STEMI. SUMMARY: In patients with STEMI undergoing primary PCI, the overall incidence of contrast-induced acute kidney injury (CI-AKI) was low (6.7%). Transradial access was not associated with a lower risk of CI-AKI as compared with transfemoral access.
SN - 1878-0938
UR - https://www.unboundmedicine.com/medline/citation/27566903/Association_of_radial_versus_femoral_access_with_contrast_induced_acute_kidney_injury_in_patients_undergoing_primary_percutaneous_coronary_intervention_for_ST_elevation_myocardial_infarction_
L2 - https://linkinghub.elsevier.com/retrieve/pii/S1553-8389(16)30195-6
DB - PRIME
DP - Unbound Medicine
ER -