We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Evaluación prospectiva del desarrollo de nefropatía inducida por contraste en pacientes con síndrome coronario agudo tratados con angiografía coronaria rotacional vs. angiografía coronaria convencional: Estudio CINERAMA.
- Authors
Fernández-Rodrígueza, Diego; Grillo-Pérez, José J.; Pérez-Hernández, Horacio; Rodríguez-Esteban, Marcos; Pimienta, Raquel; Acosta-Materán, Carlos; Rodríguez, Sara; Yanes-Bowden, Geoffrey; Vargas-Torres, Manuel J.; Flecha, Alejandro Sánchez-Grande; Hernández-Afonso, Julio; Bosa-Ojeda, Francisco
- Abstract
Introduction and objectives: Rotational coronary angiography (RCA) requires less contrast to be administered and can prevent the onset of contrast-induced nephropathy (CIN) during invasive coronary procedures. The aim of the study is to evaluate the impact of RCA on CIN (increase in serum creatinine ≥0.5 mg/dl or ≥25%) after an acute coronary syndrome. Methods: From April to September 2016, patients suffering acute coronary syndromes who underwent diagnostic coronary angiography, with the possibility of ad hoc coronary angioplasty, were prospectively enrolled. At the operator's discretion, patients underwent RCA or conventional coronary angiography (CCA). CIN (primary endpoint), as well as analytical, angiographic and clinical endpoints, were compared between groups. Results: Of the 235 patients enrolled, 116 patients received RCA and 119 patients received CCA. The RCA group was composed of older patients (64.0 ± 11.8 years vs. 59.7 ± 12.1 years; p = 0.006), a higher proportion of women (44.8 vs. 17.6%; p < 0.001), patients with a lower estimated glomerular filtration rate (76 ± 25 vs. 86 ± 27 ml/min/1.73 m²; p = 0.001), and patients who underwent fewer coronary angioplasties (p < 0.001) compared with the CCA group. Furthermore, the RCA group, received less contrast (113 ± 92 vs. 169 ± 103 ml; p < 0.001), including in diagnostic procedures (54 ± 24 vs. 85 ± 56 ml; p < 0.001) and diagnostic-therapeutic procedures (174 ± 64 vs. 205 ± 98 ml; p = 0.049) compared with the CCA group. The RCA group presented less CIN (4.3 vs. 22.7%; p < 0.001) compared to the CCA group, and this finding was maintained in the regression analysis (Adjusted relative risk: 0.868; 95% CI: 0.794-0.949; p = 0.002). There were no differences in clinical endpoints between the groups. Conclusions: RCA was associated with lower administration of contrast during invasive coronary procedures in acute coronary syndrome patients, resulting in lower incidence of CIN, in comparison with CCA.
- Publication
Nefrologia, 2018, Vol 38, Issue 2, p169
- ISSN
0211-6995
- Publication type
Article
- DOI
10.1016/j.nefro.2017.05.011