Acute Kidney Injury After Radial or Femoral Access for Invasive Acute Coronary Syndrome Management: AKI-MATRIX

Journal of the American College of Cardiology
Giuseppe AndòMATRIX investigators

Abstract

It remains unclear whether radial access (RA), compared with femoral access (FA), mitigates the risk of acute kidney injury (AKI). The authors assessed the incidence of AKI in patients with acute coronary syndrome (ACS) enrolled in the MATRIX-Access (Minimizing Adverse Haemorrhagic Events by Transradial Access Site and Systemic Implementation of Angiox) trial. Among 8,404 patients, 194 (2.3%) were excluded due to missing creatinine values, no or an incomplete coronary angiogram, or previous dialysis. The primary AKI-MATRIX endpoint was AKI, defined as an absolute (>0.5 mg/dl) or a relative (>25%) increase in serum creatinine (sCr). AKI occurred in 634 patients (15.4%) with RA and 712 patients (17.4%) with FA (odds ratio [OR]: 0.87; 95% confidence interval [CI]: 0.77 to 0.98; p = 0.0181). A >25% sCr increase was noted in 633 patients (15.4%) with RA and 710 patients (17.3%) with FA (OR: 0.87; 95% CI: 0.77 to 0.98; p = 0.0195), whereas a >0.5 mg/dl absolute sCr increase occurred in 175 patients (4.3%) with RA versus 223 patients (5.4%) with FA (OR: 0.77; 95% CI: 0.63 to 0.95; p = 0.0131). By implementing the Kidney Disease Improving Global Outcomes criteria, AKI was 3-fold less prevalent and trended lower with RA (OR: 0.85; 95% C...Continue Reading

Citations

Feb 27, 2018·Current Treatment Options in Cardiovascular Medicine·Matthew S SchoenfeldBinita Shah
Dec 16, 2017·Journal of Interventional Cardiology·Akanksha AgrawalJanani Rangaswami
Aug 17, 2018·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Shmuel ChenGregg W Stone
Dec 14, 2018·Circulation. Cardiovascular Interventions·Satoshi ShojiKeiichi Fukuda
Mar 18, 2019·European Heart Journal·Mathieu KerneisGilles Montalescot
Dec 27, 2019·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Chun Shing KwokMamas A Mamas
Jan 9, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Raymond PranataBambang B Siswanto
Jan 23, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Giulia BuganiAntonio Colombo
Feb 25, 2020·Circulation. Cardiovascular Interventions·Lucía JunqueraJosep Rodés-Cabau
Mar 20, 2020·Circulation Journal : Official Journal of the Japanese Circulation Society·Ko YamamotoUNKNOWN CREDO-Kyoto PCI/CABG Registry Cohort-2 Investigators
Apr 8, 2020·Cardiovascular Intervention and Therapeutics·Rishi ChandiramaniRoxana Mehran
May 8, 2018·Biomedical Reports·Konstantinos TsarouhasDemetrios Kouretas
Oct 17, 2018·Expert Review of Cardiovascular Therapy·Paul GuedeneyRoxana Mehran
Sep 11, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Giuseppe Andò, Davide Capodanno
Mar 24, 2018·Current Treatment Options in Cardiovascular Medicine·Arash Ehteshami Afshar, Puja B Parikh
Mar 27, 2018·Journal of Interventional Cardiology·Gaurav RaoCindy Grines
Jun 20, 2019·Expert Review of Cardiovascular Therapy·Arturo CesaroPaolo Calabrò
May 21, 2020·Minerva cardioangiologica·Armando Del PreteBernardo Cortese
Oct 9, 2018·QJM : Monthly Journal of the Association of Physicians·J S LeesC C Geddes
Sep 24, 2018·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Giuseppe AndòMarco Valgimigli
Oct 23, 2019·Journal of Clinical Medicine·Renato Francesco Maria ScaliseFrancesco Costa
Nov 12, 2019·Clinical and Experimental Nephrology·Yoshitaka IsakaUNKNOWN Japanese Society of Nephrology, Japan Radiological Society, and Japanese Circulation Society Joint Working Group
Jun 28, 2018·Journal of Nephrology·Vojko KanicRadovan Hojs
Sep 27, 2018·Case Reports in Cardiology·Gregor LeibundgutFlorian Riede
Nov 12, 2019·Japanese Journal of Radiology·Yoshitaka IsakaUNKNOWN Japanese Society of Nephrology, Japan Radiological Society, and Japanese Circulation Society Joint Working Group
Sep 25, 2017·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Thorsten FeldkampMark Luedde
Oct 8, 2020·European Heart Journal. Acute Cardiovascular Care·Marco Valgimigli, Felice Gragnano
Oct 8, 2020·European Heart Journal. Acute Cardiovascular Care·Christian DworeckElmir Omerovic
Jan 29, 2021·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Mauro ChiaritoGeorge Dangas
Nov 12, 2019·Circulation Journal : Official Journal of the Japanese Circulation Society·Yoshitaka IsakaUNKNOWN Japanese Circulation Society Joint Working Group
May 23, 2021·JACC. Cardiovascular Interventions·Marco Valgimigli, Antonio Landi
Jul 14, 2021·Circulation. Cardiovascular Interventions·Amit P AminFrederick A Masoudi
Jul 31, 2021·Journal of the American Heart Association·Andrew Kei-Yan NgChung-Wah Siu
Nov 3, 2021·Scientific Reports·Hirokazu NaganawaTakeshi Suzuki
Aug 9, 2019·Cardiorenal Medicine·Kevin Bryan LoJanani Rangaswami

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiology Journals

Discover the latest cardiology research in this collection of the top cardiology journals.