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Ahmed AbdelbakyS.Ahmed

National Heart Institue

Title: Contrast Induced Nephropathy after Radial or Femoral Access for Invasive Management of Acute Coronary Syndrome

Biography

Biography: Ahmed AbdelbakyS.Ahmed

Abstract

  • Background:Percutaneous coronary intervention is now the best way of management of acute coronary syndrome (ACS). Contrast induced nephropathy is a serious complication and greatly dependent on several factors. It is still unclear whether the vascular access affects CIN risk.
  • Objective:To study the impact of Radial Access (RA) compared with Femoral Access (FA) on developing contrast-induced nephropathy (CIN) in patients undergoing invasive management of acute coronary syndrome (ACS).
  • Methods: Sixty patients eligible for invasive management of ACS at cardiology department (Menoufia University hospital and National Heart Institute) were randomized into two groups.Group I:  included 30 patients with femoral approach and Group II: included 30 patients with radial approach. The occurrence of CIN estimated by KDIGO definition(absolute increase in serum creatinine (SCr) by ≥ 0.5 mg/dl within 48 hours; or increase in SCr to ≥ 25% of baseline) was estimated in both groups.
  • Results: Only 9 patients (15 %) developed CIN, 5 patients (55.6%) of them underwent PCI through FA without statistically significant difference between the two approaches.
  • Conclusion: CIN is considered a potential complication of percutaneous coronary intervention (PCI) .Our study did not show preference of using an approach over the other in reducing CIN.