ArticleJournal of the American Heart Association2017
Association Between Chronic Kidney Disease and Rates of Transfusion and Progression to End-Stage Renal Disease in Patients Undergoing Transradial Versus Transfemoral Cardiac Catheterization-An Analysis From the Veterans Affairs Clinical Assessment Reporting and Tracking (CART) Program.
Article in Journal of the American Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 27 citations in OpenAlex.
- Radial artery access in interventional cardiology: a review of current practices.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2025Review
- Development and Validation of a Risk-Prediction Nomogram for Preoperative Blood Type and Antibody Testing in Spinal Fusion Surgery.Orthopaedic surgery · 2024Article
- Radial Artery Access for Acute Coronary Syndromes: a Review of Current Evidence.Current cardiology reports · 2022Review
- Coronary Artery Disease in Chronic Kidney Disease: Need for a Heart-Kidney Team-Based Approach.European cardiology · 2021Review
- Efficacy and Safety of Ureteral Catheter Use During Arteriovenous Fistula in End-Stage Renal Disease Patients with Poor Vascular Status.Medical science monitor : international medical journal of experimental and clinical research · 2020Article
- Red cell transfusion in chronic kidney disease in the United States in the current era of erythropoiesis stimulating agents.Journal of nephrology · 2020Review
- Predialysis coronary revascularization and postdialysis mortality.The Journal of thoracic and cardiovascular surgery · 2019Observational
- Acute Kidney Injury Post Cardiac Catheterization: Does Vascular Access Route Matter?Current cardiology reviews · 2019Review
- Beraprost sodium versus clopidogrel for preventing vascular thromboembolic events of arteriovenous fistula in uraemic patients: a retrospective study with a mean 3-year follow-up.The Journal of international medical research · 2019Article
- Transradial Artery Access in Percutaneous Coronary Intervention for ST-Segment Elevation Myocardial Infarction and Cardiogenic Shock.Current treatment options in cardiovascular medicine · 2018Review
- Radial access protects from contrast media induced nephropathy after cardiac catheterization procedures.Clinical research in cardiology : official journal of the German Cardiac Society · 2018Observational
- Development and Validation of a Predictive Model for Chronic Kidney Disease After Percutaneous Coronary Intervention in Chinese.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/HemostasisArticle
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Authors and funding
11 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients with chronic kidney disease (CKD) are at increased risk for bleeding, transfusion, and dialysis after cardiac catheterization. Whether rates of these complications are increased in this high-risk population undergoing transradial access compared with transfemoral access is unknown. METHODS AND
resultsFrom the Veterans Affairs (VA) Clinical Assessment Reporting and Tracking program, we identified 229 108 patients undergoing cardiac catheterization between 2007 and 2014, of which 48 155 (21.0%) had baseline glomerular filtration rate (GFR) between 15 and 59 mL/min. We used multivariable Cox modeling to determine the independent association between transradial access and postprocedure transfusion as well as progression to new dialysis by degree of renal dysfunction. Overall, 35 979 (15.7%) of patients underwent Transradial access. Transradial patients tended to be slightly younger, but, overall, had similar rates of CKD compared to transfemoral patients (24.3% vs 27.1%). Transradial patients had longer fluoroscopy times (7.2 vs 6.0 minutes;
conclusionsAmong patients undergoing cardiac catheterization in the VA health system, transradial access was associated with lower risk for postprocedure transfusion within 48 hours among patients with more-severe CKD, and with lower risk of progression to end-stage renal disease at 1 year compared with transfemoral access. These data provide additional evidence that transradial access may provide significant benefit in this high-risk population.
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