Trans-radial percutaneous coronary intervention for patients with severe chronic renal insufficiency and/or on dialysis

Autor: Tetsuya Saito, Keita Hirano, Shohei Imaeda, Takayuki Abe, Hiroyuki Yamazaki, Yohei Numasawa, Masaki Kodaira, Souichi Yokokura, Ryota Tabei, Kenji Hashimoto, Toshinobu Ryuzaki, Toshiki Kuno
Rok vydání: 2019
Předmět:
Male
Cardiac Catheterization
medicine.medical_specialty
medicine.medical_treatment
Arteriovenous fistula
Renal function
Hemorrhage
Coronary Artery Disease
030204 cardiovascular system & hematology
Coronary artery disease
03 medical and health sciences
Percutaneous Coronary Intervention
Postoperative Complications
0302 clinical medicine
Renal Dialysis
Risk Factors
Internal medicine
Clinical endpoint
Humans
Medicine
Hospital Mortality
Prospective Studies
030212 general & internal medicine
Renal Insufficiency
Chronic
Dialysis
Aged
Aged
80 and over
business.industry
Percutaneous coronary intervention
Middle Aged
medicine.disease
Femoral Artery
Logistic Models
Treatment Outcome
Multivariate Analysis
Radial Artery
Conventional PCI
Cardiology
Female
Hemodialysis
Cardiology and Cardiovascular Medicine
business
Glomerular Filtration Rate
Zdroj: Heart and Vessels. 34:1412-1419
ISSN: 1615-2573
0910-8327
DOI: 10.1007/s00380-019-01387-0
Popis: Periprocedural bleeding is associated with an increased risk of mortality during percutaneous coronary intervention (PCI), especially in patients with severe chronic renal insufficiency. Therefore, trans-radial intervention (TRI) should be considered in these patients; however, PCI operators usually avoid this approach because of the risk of radial artery occlusion. We aimed to investigate the associations of TRI and in-hospital complications in these patients. This study included 306 consecutive patients with severe chronic renal insufficiency and/or on dialysis who underwent PCI. Patients were prospectively enrolled and divided according to the access site into TRI group and trans-femoral intervention group. Severe renal insufficiency was defined as estimated glomerular filtration rate
Databáze: OpenAIRE
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