Radial vs femoral access for the prevention of acute kidney injury (AKI) after coronary angiography or intervention: A systematic review and meta-analysis

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Giuseppe AndòMarco Valgimigli

Abstract

We sought to investigate the impact of radial vs femoral access on the incidence of acute kidney injury (AKI) after coronary angiography or intervention. There is a growing recognition of the importance of access site selection as an adjudicative measure to mitigate the risk of renal impairment for patients with coronary artery disease undergoing angiography with or without percutaneous coronary intervention. We conducted a systematic review of the literature and meta-analyzed available evidence comparing the rates of AKI with radial vs femoral access in patients undergoing coronary angiography or intervention. Studies reporting the incidence of AKI as a primary or secondary outcome were pooled in fixed- and random-effects meta-analyses and meta-regression techniques were used to account for across-study heterogeneity. Across data pooled from nine studies (n = 32 181), radial access was significantly associated with a reduction in the incidence of AKI (OR 0.57, 95% CI 0.50 to 0.66, P < 0.0001 with fixed-effects model, OR 0.55, 95% CI 0.45 to 0.67, P < 0.0001 with random-effects model) as compared to femoral. In the meta-regression model, the effect size of radial access effect was related to the number of centers in which studi...Continue Reading

References

Sep 1, 1986·Controlled Clinical Trials·R DerSimonian, N Laird
Jun 1, 2002·JAMA : the Journal of the American Medical Association·Carin M OlsonBrian Pace
Jul 12, 2002·Statistics in Medicine·Julian P T Higgins, Simon G Thompson
Jul 12, 2002·Statistics in Medicine·Simon G Thompson, Julian P T Higgins
Dec 28, 2006·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ronen JaffeAsim N Cheema
Nov 28, 2008·Heart·C PristipinoUNKNOWN Prospective REgistry of Vascular Access in Interventions in Lazio Region Study Group
Jul 23, 2009·BMJ : British Medical Journal·David MoherUNKNOWN PRISMA Group
Apr 5, 2014·International Journal of Cardiology·Abdulla DamlujiIan C Gilchrist
Aug 21, 2014·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Lorenzo Azzalini, E Marc Jolicoeur
Sep 5, 2014·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Stephan WindeckerAdam Witkowski
Sep 28, 2014·The American Journal of Cardiology·Lorenzo AzzaliniHung Q Ly
Apr 10, 2015·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Giuseppe AndòUNKNOWN MATRIX investigators
Nov 18, 2015·Circulation·Julian L WichmannU Joseph Schoepf
Apr 7, 2016·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Giuseppe AndòMarco Valgimigli
Jul 13, 2016·Angiology·Renatomaria BianchiPaolo Calabrò
May 23, 2017·Journal of the American College of Cardiology·Giuseppe AndòUNKNOWN MATRIX Investigators
Sep 25, 2017·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Thorsten FeldkampMark Luedde
Nov 5, 2017·The American Journal of Cardiology·Maitri S PancholySamir B Pancholy
Dec 8, 2017·Angiology·Paolo CalabroMario Crisci

❮ Previous
Next ❯

Citations

Jan 13, 2019·Aging·Felice GragnanoMarco Valgimigli
Jun 20, 2019·Expert Review of Cardiovascular Therapy·Arturo CesaroPaolo Calabrò
Dec 9, 2020·Expert Review of Cardiovascular Therapy·Hafeez Ul Hassan VirkSahil Banka
Jan 15, 2021·Journal of the American Society of Nephrology : JASN·Joseph LunyeraClarissa J Diamantidis
Jan 30, 2021·Journal of the American College of Cardiology·Sergio LeonardiMarco Valgimigli
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 11, 2021·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Felice GragnanoMarco Valgimigli

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.