TY  - BOOK
AU  - Alraies, M Chadi
AU  - Ben-Dor, Itsik
AU  - Buchanan, Kyle
AU  - Garcia-Garcia, Hector M
AU  - Koifman, Edward
AU  - Pichard, Augusto D
AU  - Rogers, Toby
AU  - Satler, Lowell F
AU  - Steinvil, Arie
AU  - Torguson, Rebecca
AU  - Waksman, Ron
TI  - Comparison of Propensity Score-Matched Analysis of Acute Kidney Injury After Percutaneous Coronary Intervention With Transradial Versus Transfemoral Approaches
SN  - 0002-9149
PY  - 2017///
KW  - MedStar Heart & Vascular Institute
KW  - Journal Article
N1  - Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006MH  - *Acute Kidney Injury/di [Diagnosis]MH  - Acute Kidney Injury/ep [Epidemiology]MH  - Acute Kidney Injury/et [Etiology]MH  - AgedMH  - *Catheterization, Peripheral/ae [Adverse Effects]MH  - District of Columbia/ep [Epidemiology]MH  - FemaleMH  - Femoral ArteryMH  - Follow-Up StudiesMH  - HumansMH  - IncidenceMH  - MaleMH  - Middle AgedMH  - Myocardial Infarction/di [Diagnosis]MH  - *Myocardial Infarction/su [Surgery]MH  - Percutaneous Coronary Intervention/ae [Adverse Effects]MH  - *Percutaneous Coronary Intervention/mt [Methods]MH  - *Postoperative ComplicationsMH  - *Propensity ScoreMH  - Radial ArteryMH  - RegistriesMH  - Retrospective StudiesMH  - Risk Assessment/mt [Methods]MH  - Risk FactorsMH  - Time Factors
N2  - Copyright (c) 2017 Elsevier Inc. All rights reserved; Transradial percutaneous coronary intervention (TR-PCI) may be associated with reduced rates of acute kidney injury (AKI). There is limited data from real-world registries about AKI rates stratified by PCI access. Our aim was to evaluate AKI rates and correlates in TR-PCI versus transfemoral PCI (TF-PCI) in a propensity score-matched analysis of patient data from a large, single-center registry. We performed a 1:1 propensity score-matched analysis on consecutive patients who underwent PCI from January 2011 to June 2016, excluding those on dialysis. A multivariate logistic regression model was adjusted to variables found to be significant in univariate models. AKI was defined by creatinine increase of >0.3 mg/dL post-PCI during hospitalization. During the study period, 6,743 patients underwent PCI (TR-PCI n = 1,119). Initial univariate models revealed significant differences between patients with TF-PCI and TR-PCI. Contrast amount and procedure duration were both increased with TR-PCI versus TF-PCI (162 vs 154 ml, p = 0.003; and 86 vs 79 minutes, p <0.001, respectively). Multivariate propensity score analysis matched 536 pairs of patients. In this matched cohort, TR-PCI was associated with a reduced risk for AKI compared with TF-PCI in univariate (4.3% vs 10.4%, p <0.001) and multivariate adjusted models (odds ratio 0.28, 95% confidence interval 0.19 to 0.59, p <0.001)
UR  - https://dx.doi.org/10.1016/j.amjcard.2017.02.032
ER  -