Vuurmans et al. have reported that, among 69,214 patients who underwent coronary angiography or percutaneous coronary intervention, transradial access was associated with a lower incidence of chronic kidney disease than the femoral approach. We discuss the importance of kidney injury following these procedures, and the potential protective mechanisms of transradial access.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Vuurmans, T. et al. Chronic kidney injury in patients after cardiac catheterisation or percutaneous coronary intervention: a comparison of radial and femoral approaches (from the British Columbia Cardiac and Renal Registries). Heart 96, 1538–1542 (2010).
Rihal, C. S. et al. Incidence and prognostic importance of acute renal failure after percutaneous coronary intervention. Circulation 105, 2259–2264 (2002).
Gruberg, L. et al. Acute renal failure requiring dialysis after percutaneous coronary interventions. Catheter Cardiovasc. Interv. 52, 409–416 (2001).
Tumlin, J. et al. Pathophysiology of contrast-induced nephropathy. Am. J. Cardiol. 98, 14K–20K (2006).
Jolly, S. S., Amlani, S., Hamon, M., Yusuf, S. & Mehta, S. R. Radial versus femoral access for coronary angiography or intervention and the impact on major bleeding and ischemic events: a systematic review and meta-analysis of randomized trials. Am. Heart J. 157, 132–140 (2009).
Scolari, F. & Ravani, P. Atheroembolic renal disease. Lancet 375, 1650–1660 (2010).
Ramirez, G., O'Neill, W. M. Jr, Lambert, R. & Bloomer, H. A. Cholesterol embolization: a complication of angiography. Arch. Intern. Med. 138, 1430–1432 (1978).
Mehran, R. et al. A simple risk score for prediction of contrast-induced nephropathy after percutaneous coronary intervention: development and initial validation. J. Am. Coll. Cardiol. 44, 1393–1399 (2004).
Eikelboom, J. W. et al. Adverse impact of bleeding on prognosis in patients with acute coronary syndromes. Circulation 114, 774–782 (2006).
Chase, A. J. et al. Association of the arterial access site at angioplasty with transfusion and mortality: the MORTAL study (Mortality benefit Of Reduced Transfusion after percutaneous coronary intervention via the Arm or Leg). Heart 94, 1019–1025 (2008).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing financial interests.
Rights and permissions
About this article
Cite this article
Weisz, G., Leon, M. Hand me your radial artery to protect your kidney. Nat Rev Cardiol 7, 674–675 (2010). https://doi.org/10.1038/nrcardio.2010.158
Published:
Issue Date:
DOI: https://doi.org/10.1038/nrcardio.2010.158