Prospective evaluation of the development of contrast-induced nephropathy in patients with acute coronary syndrome undergoing rotational coronary angiography vs. conventional coronary angiography: CINERAMA study
| Autor: | Manuel J. Vargas-Torres, Diego Fernández-Rodríguez, Raquel Pimienta, Sara Rodríguez, Horacio Pérez-Hernández, Geoffrey Yanes-Bowden, Alejandro Sánchez-Grande Flecha, Carlos Acosta-Materán, José J. Grillo-Pérez, Marcos Rodríguez-Esteban, Francisco Bosa-Ojeda, Julio Hernández-Afonso |
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| Rok vydání: | 2018 |
| Předmět: |
Coronary angiography
medicine.medical_specialty Acute coronary syndrome Creatinine business.industry medicine.medical_treatment Contrast-induced nephropathy 030204 cardiovascular system & hematology lcsh:Diseases of the genitourinary system. Urology lcsh:RC870-923 medicine.disease Nephropathy 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine chemistry Nephrology Angioplasty Internal medicine medicine Cardiology Clinical endpoint In patient 030212 general & internal medicine business |
| Zdroj: | Nefrología (English Edition), Vol 38, Iss 2, Pp 169-178 (2018) |
| ISSN: | 2013-2514 |
| DOI: | 10.1016/j.nefroe.2018.02.001 |
| Popis: | Introduction and objectives: Rotational coronary angiography (RCA) requires less contrast to be administered and can prevent the onset of contrast-induced nephropathy (CIN) during invasive coronary procedures. The aim of the study is to evaluate the impact of RCA on CIN (increase in serum creatinine â¥0.5 mg/dL or â¥25%) after an acute coronary syndrome. Methods: From April to September 2016, patients suffering acute coronary syndromes who underwent diagnostic coronary angiography, with the possibility of ad hoc coronary angioplasty, were prospectively enrolled. At the operator's discretion, patients underwent RCA or conventional coronary angiography (CCA). CIN (primary endpoint), as well as analytical, angiographic and clinical endpoints, were compared between groups. Results: Of the 235 patients enrolled, 116 patients received RCA and 119 patients received CCA. The RCA group was composed of older patients (64.0 ± 11.8 years vs. 59.7 ± 12.1 years; p = 0.006), a higher proportion of women (44.8 vs. 17.6%; p |
| Databáze: | OpenAIRE |
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