Increased vascular access complications in patients with renal dysfunction (full title below)

Emad F. Aziz; Sandeep Pulimi; Clinton Coleman; Calatin Florita; Dan Musat; Deborah Tormey; Ashraf Fawzy; Steve Lee; Eyal Herzog; David L. Coven; Jacqueline Tamis-Holland; Mun K. Hong

Increased vascular access complications in patients with renal dysfunction (full title below)

Emad F. Aziz, Sandeep Pulimi, Clinton Coleman, Calatin Florita, Dan Musat, Deborah Tormey, Ashraf Fawzy, Steve Lee, Eyal Herzog, David L. Coven, Jacqueline Tamis-Holland, Mun K. Hong

Research output: Contribution to journal › Article › peer-review

19 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	8-13
Number of pages	6
Journal	Journal of Invasive Cardiology
Volume	22
Issue number	1
State	Published - Jan 2010
Externally published	Yes

All Science Journal Classification (ASJC) codes

General Medicine

Keywords

Cardiac catheterization
Closure devices
Kidney disease
Vascular complications

Cite this

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title = "Increased vascular access complications in patients with renal dysfunction (full title below)",

abstract = "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.",

keywords = "Cardiac catheterization, Closure devices, Kidney disease, Vascular complications",

author = "Aziz, {Emad F.} and Sandeep Pulimi and Clinton Coleman and Calatin Florita and Dan Musat and Deborah Tormey and Ashraf Fawzy and Steve Lee and Eyal Herzog and Coven, {David L.} and Jacqueline Tamis-Holland and Hong, {Mun K.}",

year = "2010",

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language = "English (US)",

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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

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

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Increased vascular access complications in patients with renal dysfunction (full title below)

Abstract

All Science Journal Classification (ASJC) codes

Keywords

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