| Renal Insufficiency and Vascular Complications After Primary Angioplasty Via Femoral Route. Impact of Vascular Closure Devices Use. | |
| | |
MedLine Citation:
|
PMID: 22305819 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
INTRODUCTION AND OBJECTIVES: We sought to determine the incidence of vascular complications in patients with chronic kidney disease undergoing primary angioplasty via the femoral route; we also evaluated the safety and efficacy of the use of vascular closure devices in this setting. METHODS: Registry of 527 patients undergoing primary angioplasty via the femoral route from January 2003 to December 2008. Chronic kidney disease was defined as creatinine clearance less than 60mL/min. The primary endpoint was the presence of major vascular complications. RESULTS: Baseline chronic kidney disease was observed in 166 (31.5%) patients. Patients with chronic kidney disease experienced higher rates of major vascular complications compared to those without worsening of renal function (8.4% vs 4.2%; P=.045), especially those requiring transfusion (6.6% vs 1.9%; P=.006). Among patients with chronic kidney disease, 129 (77.7%) received a vascular closure device and manual compression was used in 37 patients (22.3%). The risk of major vascular complications was significantly lower with vascular closure device use compared to manual compression (4.7% vs 21.6%; P=.003). Multivariable logistic regression analysis showed that the use of a vascular closure device was independently associated with a decreased risk of major vascular complications in patients with chronic kidney disease undergoing primary angioplasty (odds ratio=0.11; 95% confidence interval, 0.03-0.41; P=.001). CONCLUSIONS: Patients with chronic kidney disease undergoing primary angioplasty via the femoral route experience higher rates of major vascular complications. The use of vascular closure devices in this group of patients is safe and is associated with lower rates of major vascular complications compared to manual compression. Full English text available from:www.revespcardiol.org. |
| | |
Authors:
|
Oscar Prada-Delgado; Rodrigo Estévez-Loureiro; Ramón Calviño-Santos; Eduardo Barge-Caballero; Jorge Salgado-Fernández; Pablo Piñón-Esteban; José Manuel Vázquez-Rodríguez; Guillermo Aldama-López; Xacobe Flores-Ríos; María Rita Soler-Martín; Nicolás Vázquez-González; Alfonso Castro-Beiras |
Related Documents
:
|
22068069 - Benign afebrile convulsions in the course of mild acute gastroenteritis: a study of 28 ... 21602059 - Echocardiographic assessment of hypertensive left ventricular hypertrophy in patients w... 22572519 - Increased plasma levels of advanced oxidation protein products (aopp) as a marker for o... 21646739 - Elevated cardiac troponin t predicts adverse outcomes in hypertensive patients. 22180989 - Alkaline phosphatase: can it be considered as an indicator of liver fibrosis in non-alc... 16351669 - Achieving lipid goals in real life: the dutch discovery study. 17164349 - Prognostic value of anti-adamts 13 antibody features (ig isotype, titer, and inhibitory... 7515979 - Electrophysiologic effects of intravenous e-4031, a novel class iii antiarrhythmic agen... 8077549 - Prognostic implications of left atrial spontaneous echo contrast in nonvalvular atrial ... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-2-2 |
Journal Detail:
|
Title: Revista espanola de cardiologia Volume: - ISSN: 1579-2242 ISO Abbreviation: - Publication Date: 2012 Feb |
Date Detail:
|
Created Date: 2012-2-6 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0404277 Medline TA: Rev Esp Cardiol Country: - |
Other Details:
|
Languages: ENG; SPA Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2011 Sociedad Española de Cardiología. Published by Elsevier Espana. All rights reserved. |
Affiliation:
|
Servicio de Cardiología, Complejo Hospitalario Universitario de A Coruña, A Coruña, España. |
Vernacular Title:
|
Insuficiencia renal y complicaciones vasculares tras la angioplastia primaria por vía femoral. Impacto del uso de dispositivos de cierre vascular. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Metabolic Syndrome in Spain: Prevalence and Coronary Risk Associated With Harmonized Definition and ...
Next Document: Current Percutaneous Recanalization of Coronary Chronic Total Occlusion.