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- Title
Exploring the correlation between radial artery access and decreased occurrence of contrast-induced nephropathy.
- Authors
ur Rahman, Syed Kashif; Khan, Muhammad Abbas; Surhio, Muzafar Ali; Jamro, Ghulam Mahdi; Dasti, Mashooque Ali; Ul Hassan, Mahmood
- Abstract
Objective: To Investigate the Impact of Radial Artery Access on Contrast-Induced Nephropathy (CIN) Incidence. Study Design: Retrospective study. Setting: Department of Cardiology, Hayatabad Medical Complex in Peshawar. Period: January 2021 to June 2022. Material & Methods: Patients aged = 30 who have undergone cardiac catheterization procedures, with a focus on those who have undergone the procedure using radial artery access. Those patients who had pre-existing renal impairments or kidney diseases, with a history of contrast allergies, were included in the study. However, those patients who were under the age of < 30, had undergone cardiac catheterization procedures using femoral artery access, and with incomplete medical records were excluded. All the data were analyzed in SPSS version 26. Results: In our study involving 164 participants. Individuals who experienced CIN exhibited a considerably greater average age of 69.89 years when contrasted with the 66.86 years of those in the non-CIN category (p=0.03). Furthermore, a higher percentage of patients in the CIN group were aged 65 or older (35.1% vs. 11%, p<0.001), highlighting the increased vulnerability of older individuals to CIN. The timing of reperfusion therapy, indicated by the time-to-reperfusion, was significantly longer in the CIN group (6.2 ± 3.3 hours) compared to the non-CIN group (4.9 ± 3.7 hours, p=0.001), suggesting that delayed reperfusion may be a risk factor for CIN. Conclusion: Patients with anterior infarction, delayed reperfusion, lower left ventricular ejection fraction (LVEF), and higher serum creatinine levels were also more likely to develop CIN.
- Subjects
CONTRAST induced nephropathy; RADIAL artery; PERCUTANEOUS coronary intervention; OLDER people; VENTRICULAR ejection fraction
- Publication
Professional Medical Journal, 2024, Vol 31, Issue 2, p214
- ISSN
1024-8919
- Publication type
Article
- DOI
10.29309/TPMJ/2024.31.02.7898