Acute kidney injury in patients with myocardial infarction undergoing percutaneous coronary intervention using radial versus femoral access.

ABSTRACT:

Background

Data on radial access (RA) as an independent risk factor for acute kidney injury (AKI) in myocardial infarction (MI) patients are conflicting. Our aim was to assess how RA influences the incidence of AKI in MI patients undergoing percutaneous coronary intervention (PCI).

Methods

Data from 3842 MI patients undergoing PCI at our institution from January 2011 to December 2016, of which 35.8% were performed radially, were retrospectively analyzed. A propensity-matched analysis was performed to adjust for differences in the baseline characteristics between the RA and femoral access (FA) groups. The effect of RA on the incidence of AKI was observed.

Results

In the unmatched cohort, AKI occurred less often in the RA group [77 (5.6%) patients in the RA group compar

SUBMITTER: Kanic V 

PROVIDER: S-EPMC6354416 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature