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Valgimigli, M., Gagnor, A., Calabro, P., Frigoli, E., Leonardi, S., Zaro, T., Rubartelli, P., Briguori, C., Ando, G., Repetto, A., Limbruno, U., Cortese, B., Sganzerla, P., Lupi, A., Galli, M., Colangelo, S., Ierna, S., Ausiello, A., Presbitero, P., Sardella, G., Varbella, F., Esposito, G., Santarelli, A., Tresoldi, S., Nazzaro, M., Zingarelli, A., de Cesare, N., Rigattieri, S., Tosi, P., Palmieri, C., Brugaletta, S., Rao, S.V., Heg, D., Rothenbuhler, M., Vranckx, P., Juni, P. and Investigators, M. (2015) Radial versus Femoral Access in Patients with Acute Coronary Syndromes Undergoing Invasive Management: A Randomisedmulticentre Trial. The Lancet, 385, 2465-2476.
https://doi.org/10.1016/S0140-6736(15)60292-6
has been cited by the following article:
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TITLE:
Contrast Induced Nephropathy after Radial or Femoral Access for Invasive Management of Acute Coronary Syndrome
AUTHORS:
Neveen I. Samy, Walaafareed , Ahmed Abdelbaky S. Ahmed, Mohamed Osama
KEYWORDS:
Contrast Induced Nephropathy, Serum, Creatinine, Percutaneous Coronary Intervention
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.9 No.8,
August
21,
2019
ABSTRACT:
Background: Percutaneous coronary intervention is now the best way of management of acute coronary syndrome (ACS). Contrast induced nephropathy is a serious complication and greatly dependent on several factors. It is still unclear whether the vascular access migrates CIN risk. Objective: To study the impact of Radial Access (RA) compared with Femoral Access (FA) on developing contrast-induced nephropathy (CIN) in patients undergoing invasive management of acute coronary syndrome (ACS). Methods: Sixty patients eligible for invasive management of ACS at cardiology department (Menoufia University hospital and National Heart Institute) were randomized into two groups. Group I: included 30 patients with femoral approach and Group II: included 30 patients with radial approach. The occurrence of CIN estimated by KDIGO definition (absolute increase in serum creatinine (SCr) by ≥0.5 mg/dl within 48 hours; or increase in SCr to ≥25% of baseline) was estimated in both groups. Results: Only 9 patients (15%) developed CIN, 5 patients (55.6%) of them underwent PCI through FA without statistically significant difference between the two approaches.Conclusion: CIN is considered a potential complication of percutaneous coronary intervention (PCI). Our study did not show the preference of using an approach over the other.
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