TY - JOUR
T1 - Increased vascular access complications in patients with renal dysfunction (full title below)
AU - Aziz, Emad F.
AU - Pulimi, Sandeep
AU - Coleman, Clinton
AU - Florita, Calatin
AU - Musat, Dan
AU - Tormey, Deborah
AU - Fawzy, Ashraf
AU - Lee, Steve
AU - Herzog, Eyal
AU - Coven, David L.
AU - Tamis-Holland, Jacqueline E.
AU - Hong, Mun K.
PY - 2010/1
Y1 - 2010/1
N2 - Background: Arteriotomy closure device (ACD) use has increased following percutaneous transfemoral coronary procedures (PTCP). However, their safety in patients with chronic kidney disease (CKD) is not known. Therefore, we evaluated the complication rates of ACD among patients with CKD. Methods: Six-hundred ten consecutive patients who underwent PTCP and ACD were retrospectively studied. Patients were grouped according to their creatinine clearance (CrCl in ml/min/1.73 m2) calculated by the Cockcroft-Gault formula using the National Kidney Foundation classification system; Stage I (CrCl ≥ 90); Stage II (60-89); Stage III (30-59); Stage IV (15-29); and Stage V (≤ 15). The primary endpoint was the combined incidence of pseudo-aneurysm, retroperitoneal hematoma, femoral artery thrombosis, surgical vascular repair, and groin infection. Results: Among 610 patients 283 (46%) underwent PCI. The primary endpoint was seen in 66 (10.8%) patients. Univariate predictors of primary outcome were lower.
AB - Background: Arteriotomy closure device (ACD) use has increased following percutaneous transfemoral coronary procedures (PTCP). However, their safety in patients with chronic kidney disease (CKD) is not known. Therefore, we evaluated the complication rates of ACD among patients with CKD. Methods: Six-hundred ten consecutive patients who underwent PTCP and ACD were retrospectively studied. Patients were grouped according to their creatinine clearance (CrCl in ml/min/1.73 m2) calculated by the Cockcroft-Gault formula using the National Kidney Foundation classification system; Stage I (CrCl ≥ 90); Stage II (60-89); Stage III (30-59); Stage IV (15-29); and Stage V (≤ 15). The primary endpoint was the combined incidence of pseudo-aneurysm, retroperitoneal hematoma, femoral artery thrombosis, surgical vascular repair, and groin infection. Results: Among 610 patients 283 (46%) underwent PCI. The primary endpoint was seen in 66 (10.8%) patients. Univariate predictors of primary outcome were lower.
KW - Cardiac catheterization
KW - Closure devices
KW - Kidney disease
KW - Vascular complications
UR - http://www.scopus.com/inward/record.url?scp=76849094841&partnerID=8YFLogxK
M3 - Article
AN - SCOPUS:76849094841
SN - 1042-3931
VL - 22
SP - 8
EP - 13
JO - Journal of Invasive Cardiology
JF - Journal of Invasive Cardiology
IS - 1
ER -