Trans-radial percutaneous coronary intervention for patients with severe chronic renal insufficiency and/or on dialysis

Kuno, Toshiki; Hirano, Keita; Abe, Takayuki; Imaeda, Shohei; Hashimoto, Kenji; Ryuzaki, Toshinobu; Yokokura, Souichi; Saito, Tetsuya; Yamazaki, Hiroyuki; Tabei, Ryota; Kodaira, Masaki; Numasawa, Yohei

doi:10.1007/s00380-019-01387-0

Cited by 15 publications

(9 citation statements)

References 39 publications

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“…A total of 6 studies were reviewed in full text form (retrospective = 5, prospective = 1) (Supplemental S1). [6] , [7] , [8] , [9] , [10] , [11] Four studies included patients who underwent both PCI and PCA [8] , [11] and two studies had only PCI patients. [6] , [7] , [9] , [10] Moreover, the studies we included had patients with both stable and unstable angina.…”

Section: Resultsmentioning

confidence: 99%

“… [6] , [7] , [8] , [9] , [10] , [11] Four studies included patients who underwent both PCI and PCA [8] , [11] and two studies had only PCI patients. [6] , [7] , [9] , [10] Moreover, the studies we included had patients with both stable and unstable angina. The detailed Preferred Reporting Items for Systematic Reviews and meta-Analyses (P.R.I.S.M.A.)…”

Section: Resultsmentioning

confidence: 99%

“…Although most clinical studies have reported the cardiovascular outcomes of TR-PCI compared to the TF approach for PCI, very few studies reported outcomes in patients with ESRD. [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] The literature has shown different results of comparison of TR. versus TF in ESRD, therefore, we sought to do a meta -analysis with a regression model to rule out any effect modifier to fully delineate the effect on cardiovascular outcomes in such a patient group…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Cardiovascular outcomes of transradial versus transfemoral percutaneous coronary intervention in End-Stage renal Disease: A Regression-Based comparison

Sattar

Faisaluddin

Almas

et al. 2022

IJC Heart & Vasculature

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Cardiovascular outcomes of transradial versus transfemoral percutaneous coronary intervention in End-Stage renal Disease: A Regression-Based comparison

Sattar

Faisaluddin

Almas

et al. 2022

IJC Heart & Vasculature

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“…In studies that considered the radial artery to be beneficial, most patients tended to benefit from a reduction in bleeding complications; however, this benefit may be offset by renal function levels and follow-up time of the selected population and different prognostic endpoints. 25,26 Although many retrospective analyses compared the risks and benefits of approaches in CKD patients, most investigators maintain that we should be cautious in choosing TRI for CKD patients. 27 It should be noted that TRI and anemia are predictive factors in this model.…”

Section: Discussionmentioning

confidence: 99%

Development and Validation of a Predictive Model for Chronic Kidney Disease After Percutaneous Coronary Intervention in Chinese

Zhang

Wang

Zhai

et al. 2022

Clin Appl Thromb Hemost

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Aim There is no model for predicting the outcomes for coronary heart disease (CHD) patients with chronic kidney disease (CKD) after percutaneous coronary intervention (PCI). To develop and validate a model to predict major adverse cardiovascular events (MACEs) in patients with comorbid CKD and CHD undergoing PCI. Methods We enrolled 1714 consecutive CKD patients who underwent PCI from January 1, 2008 to December 31, 2017. In the development cohort, we used least absolute shrinkage and selection operator regression for data dimension reduction and feature selection. We used multivariable logistic regression analysis to develop the prediction model. Finally, we used an independent cohort to validate the model. The performance of the prediction model was evaluated with respect to discrimination, calibration, and clinical usefulness. Results The predictors included a positive family history of CHD, history of revascularization, ST segment changes, anemia, hyponatremia, transradial intervention, the number of diseased vessels, dose of contrast media >200 ml, and coronary collateral circulation. In the validation cohort, the model showed good discrimination (area under the receiver operating characteristic curve, 0.612; 95% confidence interval: 0.560, 0.664) and good calibration (Hosmer-Lemeshow test, P = 0.444). Decision curve analysis demonstrated that the model was clinically useful. Conclusions We created a nomogram that predicts MACEs after PCI in CHD patients with CKD and may help improve the screening and treatment outcomes.

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“…[10][11][12] In alignment, there is significant popularity of the alternative access for approaches that are used as a diagnostic and therapeutic purpose in catheterization, which has been overserved in recent years. 13 For example, the Bi-radial approach for complex Chronic Total Occlusion (CTO) lesion, the Distal radial approach for treating a left main lesion, Axillary access, brachial access, and least the ulnar access has been…”

mentioning

confidence: 99%

A Scoping Review of The Percutaneous Coronary Intervention: Practice Transformation for the Operational Access

Sazzad

Rahman

2022

Univ. Heart J.

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Background: The transfemoral approach is the commonest and most widely practiced access for Percutaneous coronary intervention (PCI). However, the less invasive operational access for PCI is growing substantially and gaining popularity over the conventional practice. Although, there is little known about the true benefits regarding access for the PCI in adult Bangladeshi patients requiring coronary revascularization. This systematic review was aimed to compile literature evidence for the alternative PCI access when compared with standard transfemoral practice in our country. Method: A scoping review according to the Preferred Reporting Items for Systematic Reviews and Metaanalyses (PRISMA) guidelines was conducted. As there is a scarcity of published literature comparing transfemoral vs alternative PCI routes, this scoping review was not aimed to produce a critical appraisal rather an overview and map of synthesized evidence based on the available literature. Results: 498 articles were accessed from PubMed, BanglaJOL, and Web of Science databases. A total of seven articles were included for final analysis, comprising 1212 patients undergoing PCI at the different tertiary hospitals across the country. Among the included patients 834 PCI were performed via transfemoral access, 330 via transradial access, and 48 procedures were done via transulnar access. Conclusion: Alternative access for PCI is gaining popularity in adult Bangladeshi patients requiring coronary revascularization. It’s a rational approach for the selective population in coronary revascularization strategy. University Heart Journal 2022; 18(2): 106-117

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Trans-radial percutaneous coronary intervention for patients with severe chronic renal insufficiency and/or on dialysis

Cited by 15 publications

References 39 publications

Cardiovascular outcomes of transradial versus transfemoral percutaneous coronary intervention in End-Stage renal Disease: A Regression-Based comparison

Cardiovascular outcomes of transradial versus transfemoral percutaneous coronary intervention in End-Stage renal Disease: A Regression-Based comparison

Development and Validation of a Predictive Model for Chronic Kidney Disease After Percutaneous Coronary Intervention in Chinese

A Scoping Review of The Percutaneous Coronary Intervention: Practice Transformation for the Operational Access

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