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Prospective Evaluation Of The Development Of Contrast-induced Nephropathy In Patients With Acute Coronary Syndrome Undergoing Rotational Coronary Angiography Vs. Conventional Coronary Angiography: CINERAMA Study.

D. Fernández-Rodríguez, José J Grillo-Pérez, H. Pérez-Hernández, M. Rodríguez-Esteban, Raquel Pimienta, Carlos Acosta-Materán, S. Rodríguez, Geoffrey Yanes-Bowden, M. Vargas-Torres, A. Sánchez-Grande Flecha, J. Hernández-Afonso, F. Bosa-Ojeda
Published 2018 · Medicine

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INTRODUCTION AND OBJECTIVES Rotational coronary angiography (RCA) requires less contrast to be administered and can prevent the onset of contrast-induced nephropathy (CIN) during invasive coronary procedures. The aim of the study is to evaluate the impact of RCA on CIN (increase in serum creatinine ≥0.5mg/dl or ≥25%) after an acute coronary syndrome. METHODS From April to September 2016, patients suffering acute coronary syndromes who underwent diagnostic coronary angiography, with the possibility of ad hoc coronary angioplasty, were prospectively enrolled. At the operator's discretion, patients underwent RCA or conventional coronary angiography (CCA). CIN (primary endpoint), as well as analytical, angiographic and clinical endpoints, were compared between groups. RESULTS Of the 235 patients enrolled, 116 patients received RCA and 119 patients received CCA. The RCA group was composed of older patients (64.0±11.8 years vs. 59.7±12.1 years; p=0.006), a higher proportion of women (44.8 vs. 17.6%; p<0.001), patients with a lower estimated glomerular filtration rate (76±25 vs. 86±27ml/min/1.73 m2; p=0.001), and patients who underwent fewer coronary angioplasties (p<0.001) compared with the CCA group. Furthermore, the RCA group, received less contrast (113±92 vs. 169±103ml; p<0.001), including in diagnostic procedures (54±24 vs. 85±56ml; p<0.001) and diagnostic-therapeutic procedures (174±64 vs. 205±98ml; p=0.049) compared with the CCA group. The RCA group presented less CIN (4.3 vs. 22.7%; p<0.001) compared to the CCA group, and this finding was maintained in the regression analysis (Adjusted relative risk: 0.868; 95% CI: 0.794-0.949; p=0.002). There were no differences in clinical endpoints between the groups. CONCLUSIONS RCA was associated with lower administration of contrast during invasive coronary procedures in acute coronary syndrome patients, resulting in lower incidence of CIN, in comparison with CCA.
This paper references
10.1148/89.5.815
Selective Coronary Arteriography
M. P. Judkins (1967)
10.1001/JAMA.1978.03290190031023
Coronary angiogram interpretation. Interobserver variability.
J. E. Galbraith (1978)
10.1093/CLINCHEM/31.9.1564
Enzymatic correction of interference in the kinetic Jaffé reaction for determining creatinine in plasma.
P. Boyne (1985)
10.1056/NEJM198901193200303
Contrast material-induced renal failure in patients with diabetes mellitus, renal insufficiency, or both. A prospective controlled study.
P. Parfrey (1989)
Dosing of Contrast Material to Prevent Contrast Nephropathy in Patients with Renal Disease
L. Davidhillis (1989)
10.1097/00132586-199308000-00065
Contrast-Induced Nephrotoxicity: The Effects of Vasodilator Therapy
K. A. Hall (1993)
10.1056/NEJM199411243312104
Effects of saline, mannitol, and furosemide on acute decreases in renal function induced by radiocontrast agents.
R. Solomon (1994)
10.1016/S0002-9343(96)00075-7
Is the administration of dopamine associated with adverse or favorable outcomes in acute renal failure? Auriculin Anaritide Acute Renal Failure Study Group.
G. Chertow (1996)
10.1016/S0002-9343(97)00150-2
Acute renal failure after coronary intervention: incidence, risk factors, and relationship to mortality.
P. McCullough (1997)
10.1053/AJKD.1998.V31.PM9531185
Prospective study of atrial natriuretic peptide for the prevention of radiocontrast-induced nephropathy.
B. Kurnik (1998)
10.1016/S0735-1097(00)00917-7
The prognostic implications of further renal function deterioration within 48 h of interventional coronary procedures in patients with pre-existent chronic renal insufficiency.
L. Gruberg (2000)
10.1046/J.1523-1755.2000.00012.X
Exacerbation of radiocontrast nephrotoxicity by endothelin receptor antagonism.
A. Wang (2000)
10.1056/NEJM200007203430304
Prevention of radiographic-contrast-agent-induced reductions in renal function by acetylcysteine.
M. Tepel (2000)
10.1161/01.CIR.0000016043.87291.33
Incidence and Prognostic Importance of Acute Renal Failure After Percutaneous Coronary Intervention
C. Rihal (2002)
10.1002/ccd.10389
Oral acetylcysteine does not protect renal function from moderate to high doses of intravenous radiographic contrast
F. Boccalandro (2003)
10.1097/01.SA.0000140564.44158.F9
Fenoldopam Mesylate for the Prevention of Contrast-Induced Nephropathy: A Randomized Controlled Trial
R. Fanning (2004)
10.1016/J.JAAD.2005.08.054
Radiation dermatitis: clinical presentation, pathophysiology, and treatment 2006.
S. Hymes (2006)
10.1038/SJ.KI.5000368
Contrast-induced nephropathy: definition, epidemiology, and patients at risk.
R. Mehran (2006)
10.1186/cc5713
Acute Kidney Injury Network: report of an initiative to improve outcomes in acute kidney injury
R. Mehta (2007)
10.1161/CIRCULATIONAHA.106.685313
Clinical End Points in Coronary Stent Trials: A Case for Standardized Definitions
D. Cutlip (2007)
10.1016/j.amjcard.2007.10.051
A comparison of contemporary definitions of contrast nephropathy in patients undergoing percutaneous coronary intervention and a proposal for a novel nephropathy grading system.
K. Harjai (2008)
10.1016/j.amjcard.2009.02.039
Impact of the definition utilized on the rate of contrast-induced nephropathy in percutaneous coronary intervention.
R. Jabara (2009)
10.1016/j.jacc.2009.06.051
A half century of selective coronary arteriography.
A. Bruschke (2009)
10.1016/S1885-5857(10)70004-9
N-acetylcysteine: short-term clinical benefits after coronary angiography in high-risk renal patients.
N. Carbonell (2010)
10.1002/ccd.22804
Safety and efficacy of dual‐axis rotational coronary angiography vs. standard coronary angiography
A. Klein (2011)
10.1016/j.recesp.2011.12.014
Comparison of dual-axis rotational coronary angiography (XPERSWING) versus conventional technique in routine practice.
Antonio E Gómez-Menchero (2012)
10.1016/J.REC.2011.11.006
ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation
C. Hamm (2012)
ESC / EACTS Guidelines on myocardial revascularization
S. Achenbach (2012)
10.1253/CIRCJ.CJ-12-0096
Sodium bicarbonate therapy for the prevention of contrast-induced acute kidney injury – a systematic review and meta-analysis –.
Jae-Sik Jang (2012)
10.1093/eurheartj/ehs184
Third universal definition of myocardial infarction.
K. Thygesen (2012)
10.1002/ccd.25153
Volume‐to‐creatinine clearance ratio in patients undergoing coronary angiography with or without percutaneous coronary intervention: Implications of varying definitions of contrast‐induced nephropathy
D. Capodanno (2014)
10.1016/j.amjcard.2015.03.042
Comparison of Contrast Volume, Radiation Dose, Fluoroscopy Time, and Procedure Time in Previously Published Studies of Rotational Versus Conventional Coronary Angiography.
R. Loomba (2015)
10.1016/j.rec.2015.10.009
2015 ESC Guidelines for the Management of Acute Coronary Syndromes in Patients Presenting Without Persistent ST-segment Elevation.
M. Roffi (2015)
10.1053/j.ajkd.2016.07.024
Percutaneous Coronary Intervention Versus Optimal Medical Therapy for Stable Angina in Advanced CKD: A Decision Analysis.
Aisha Khattak (2017)
10.1161/STR.0000000000000158
2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association
W. Powers (2018)
10.1161/strokeaha.119.027708
Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke.
J. Warner (2019)



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