Prevalence of chronic kidney disease among patients undergoing transradial percutaneous coronary interventions

Mohammad A. Hossain, Amy Quinlan, Jennifer Heck-Kanellidis, Dawn Calderon, Tejas Patel, Bhavika Gandhi, Shrinil Patel, Mahida Hetavi, Eric J. Costanzo, James Cosentino, Chirag Patel, Asa Dewan, Yen Hong Kuo, Loay Salman, Tushar J. Vachharajani

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: While transradial approach to conduct percutaneous coronary interventions offers multiple advantages, the procedure can cause radial artery damage and occlusion. Because radial artery is the preferred site for the creation of an arteriovenous fistula to provide dialysis, patients with chronic kidney disease are particularly dependent on radial artery for their long-term survival. Methods: In this retrospective study, we investigated the prevalence of chronic kidney disease in patients undergoing coronary interventions via radial artery. Stage of chronic kidney disease was based on estimated glomerular filtration rate and National Kidney Foundation - Kidney Disease Outcomes Quality Initiative guidelines. Results: A total of 497 patients undergoing transradial percutaneous coronary interventions were included. Over 70.4% (350/497) of the patients had chronic kidney disease. Stage II chronic kidney disease was observed in 243 (69%) patients (estimated glomerular filtration rate = 76.0 ± 8.4 mL/min). Stage III was observed in 93 (27%) patients (estimated glomerular filtration rate = 49 ± 7.5 mL/min). Stage IV chronic kidney disease was observed in 5 (1%) patients (estimated glomerular filtration rate = 25.6 ± 4.3 mL/min) and Stage V chronic kidney disease was observed in 9 (3%) patients (estimated glomerular filtration rate = 9.3 ± 3.5 mL/min). Overall, 107 of 350 patients (30%) had advanced chronic kidney disease, that is, stage III–V chronic kidney disease. Importantly, 14 of the 107 (13%) patients had either stage IV or V chronic kidney disease. Conclusion: This study finds that nearly one-third of the patients undergoing transradial percutaneous coronary interventions have advanced chronic kidney disease. Because many of these patients may require dialysis, the use of radial artery to conduct percutaneous coronary interventions must be carefully considered in chronic kidney disease population.

Original languageEnglish (US)
Pages (from-to)346-349
Number of pages4
JournalJournal of Vascular Access
Volume19
Issue number4
DOIs
StatePublished - Jul 1 2018
Externally publishedYes

Fingerprint

Percutaneous Coronary Intervention
Chronic Renal Insufficiency
Radial Artery
Glomerular Filtration Rate
Dialysis
Arteriovenous Fistula
Kidney Diseases
Retrospective Studies
Guidelines
Kidney

Keywords

  • chronic kidney disease
  • percutaneous intervention
  • Transradial
  • vascular access

ASJC Scopus subject areas

  • Surgery
  • Nephrology

Cite this

Hossain, M. A., Quinlan, A., Heck-Kanellidis, J., Calderon, D., Patel, T., Gandhi, B., ... Vachharajani, T. J. (2018). Prevalence of chronic kidney disease among patients undergoing transradial percutaneous coronary interventions. Journal of Vascular Access, 19(4), 346-349. https://doi.org/10.1177/1129729817752874

Prevalence of chronic kidney disease among patients undergoing transradial percutaneous coronary interventions. / Hossain, Mohammad A.; Quinlan, Amy; Heck-Kanellidis, Jennifer; Calderon, Dawn; Patel, Tejas; Gandhi, Bhavika; Patel, Shrinil; Hetavi, Mahida; Costanzo, Eric J.; Cosentino, James; Patel, Chirag; Dewan, Asa; Kuo, Yen Hong; Salman, Loay; Vachharajani, Tushar J.

In: Journal of Vascular Access, Vol. 19, No. 4, 01.07.2018, p. 346-349.

Research output: Contribution to journalArticle

Hossain, MA, Quinlan, A, Heck-Kanellidis, J, Calderon, D, Patel, T, Gandhi, B, Patel, S, Hetavi, M, Costanzo, EJ, Cosentino, J, Patel, C, Dewan, A, Kuo, YH, Salman, L & Vachharajani, TJ 2018, 'Prevalence of chronic kidney disease among patients undergoing transradial percutaneous coronary interventions', Journal of Vascular Access, vol. 19, no. 4, pp. 346-349. https://doi.org/10.1177/1129729817752874
Hossain, Mohammad A. ; Quinlan, Amy ; Heck-Kanellidis, Jennifer ; Calderon, Dawn ; Patel, Tejas ; Gandhi, Bhavika ; Patel, Shrinil ; Hetavi, Mahida ; Costanzo, Eric J. ; Cosentino, James ; Patel, Chirag ; Dewan, Asa ; Kuo, Yen Hong ; Salman, Loay ; Vachharajani, Tushar J. / Prevalence of chronic kidney disease among patients undergoing transradial percutaneous coronary interventions. In: Journal of Vascular Access. 2018 ; Vol. 19, No. 4. pp. 346-349.
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abstract = "Background: While transradial approach to conduct percutaneous coronary interventions offers multiple advantages, the procedure can cause radial artery damage and occlusion. Because radial artery is the preferred site for the creation of an arteriovenous fistula to provide dialysis, patients with chronic kidney disease are particularly dependent on radial artery for their long-term survival. Methods: In this retrospective study, we investigated the prevalence of chronic kidney disease in patients undergoing coronary interventions via radial artery. Stage of chronic kidney disease was based on estimated glomerular filtration rate and National Kidney Foundation - Kidney Disease Outcomes Quality Initiative guidelines. Results: A total of 497 patients undergoing transradial percutaneous coronary interventions were included. Over 70.4{\%} (350/497) of the patients had chronic kidney disease. Stage II chronic kidney disease was observed in 243 (69{\%}) patients (estimated glomerular filtration rate = 76.0 ± 8.4 mL/min). Stage III was observed in 93 (27{\%}) patients (estimated glomerular filtration rate = 49 ± 7.5 mL/min). Stage IV chronic kidney disease was observed in 5 (1{\%}) patients (estimated glomerular filtration rate = 25.6 ± 4.3 mL/min) and Stage V chronic kidney disease was observed in 9 (3{\%}) patients (estimated glomerular filtration rate = 9.3 ± 3.5 mL/min). Overall, 107 of 350 patients (30{\%}) had advanced chronic kidney disease, that is, stage III–V chronic kidney disease. Importantly, 14 of the 107 (13{\%}) patients had either stage IV or V chronic kidney disease. Conclusion: This study finds that nearly one-third of the patients undergoing transradial percutaneous coronary interventions have advanced chronic kidney disease. Because many of these patients may require dialysis, the use of radial artery to conduct percutaneous coronary interventions must be carefully considered in chronic kidney disease population.",
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AU - Hossain, Mohammad A.

AU - Quinlan, Amy

AU - Heck-Kanellidis, Jennifer

AU - Calderon, Dawn

AU - Patel, Tejas

AU - Gandhi, Bhavika

AU - Patel, Shrinil

AU - Hetavi, Mahida

AU - Costanzo, Eric J.

AU - Cosentino, James

AU - Patel, Chirag

AU - Dewan, Asa

AU - Kuo, Yen Hong

AU - Salman, Loay

AU - Vachharajani, Tushar J.

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N2 - Background: While transradial approach to conduct percutaneous coronary interventions offers multiple advantages, the procedure can cause radial artery damage and occlusion. Because radial artery is the preferred site for the creation of an arteriovenous fistula to provide dialysis, patients with chronic kidney disease are particularly dependent on radial artery for their long-term survival. Methods: In this retrospective study, we investigated the prevalence of chronic kidney disease in patients undergoing coronary interventions via radial artery. Stage of chronic kidney disease was based on estimated glomerular filtration rate and National Kidney Foundation - Kidney Disease Outcomes Quality Initiative guidelines. Results: A total of 497 patients undergoing transradial percutaneous coronary interventions were included. Over 70.4% (350/497) of the patients had chronic kidney disease. Stage II chronic kidney disease was observed in 243 (69%) patients (estimated glomerular filtration rate = 76.0 ± 8.4 mL/min). Stage III was observed in 93 (27%) patients (estimated glomerular filtration rate = 49 ± 7.5 mL/min). Stage IV chronic kidney disease was observed in 5 (1%) patients (estimated glomerular filtration rate = 25.6 ± 4.3 mL/min) and Stage V chronic kidney disease was observed in 9 (3%) patients (estimated glomerular filtration rate = 9.3 ± 3.5 mL/min). Overall, 107 of 350 patients (30%) had advanced chronic kidney disease, that is, stage III–V chronic kidney disease. Importantly, 14 of the 107 (13%) patients had either stage IV or V chronic kidney disease. Conclusion: This study finds that nearly one-third of the patients undergoing transradial percutaneous coronary interventions have advanced chronic kidney disease. Because many of these patients may require dialysis, the use of radial artery to conduct percutaneous coronary interventions must be carefully considered in chronic kidney disease population.

AB - Background: While transradial approach to conduct percutaneous coronary interventions offers multiple advantages, the procedure can cause radial artery damage and occlusion. Because radial artery is the preferred site for the creation of an arteriovenous fistula to provide dialysis, patients with chronic kidney disease are particularly dependent on radial artery for their long-term survival. Methods: In this retrospective study, we investigated the prevalence of chronic kidney disease in patients undergoing coronary interventions via radial artery. Stage of chronic kidney disease was based on estimated glomerular filtration rate and National Kidney Foundation - Kidney Disease Outcomes Quality Initiative guidelines. Results: A total of 497 patients undergoing transradial percutaneous coronary interventions were included. Over 70.4% (350/497) of the patients had chronic kidney disease. Stage II chronic kidney disease was observed in 243 (69%) patients (estimated glomerular filtration rate = 76.0 ± 8.4 mL/min). Stage III was observed in 93 (27%) patients (estimated glomerular filtration rate = 49 ± 7.5 mL/min). Stage IV chronic kidney disease was observed in 5 (1%) patients (estimated glomerular filtration rate = 25.6 ± 4.3 mL/min) and Stage V chronic kidney disease was observed in 9 (3%) patients (estimated glomerular filtration rate = 9.3 ± 3.5 mL/min). Overall, 107 of 350 patients (30%) had advanced chronic kidney disease, that is, stage III–V chronic kidney disease. Importantly, 14 of the 107 (13%) patients had either stage IV or V chronic kidney disease. Conclusion: This study finds that nearly one-third of the patients undergoing transradial percutaneous coronary interventions have advanced chronic kidney disease. Because many of these patients may require dialysis, the use of radial artery to conduct percutaneous coronary interventions must be carefully considered in chronic kidney disease population.

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KW - Transradial

KW - vascular access

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