Coronary disease & ACS

Remote ischaemic pre-conditioning, kidney injury, and outcomes after coronary angiography and intervention: a randomized trial

Eur Heart JPublished Randomised controlled trial

Primary result · CA-AKIResult — go to the resultOdds ratio 0.4 95% CI 0.17–0.94

Authors' conclusion

Among at-risk patients undergoing CAG or PCI, the incidence of CA-AKI was lower in patients receiving delayed compared with sham RIPC.

Study context

Population
Patients at risk of contrast-associated acute kidney injury (CA-AKI) undergoing elective coronary angiography (CAG) or percutaneous coronary intervention (PCI)467 (93.2%) completed day-90 assessments
Participants
501 patients
Comparison
Delayed remote ischaemic pre-conditioning (RIPC) vs sham RIPC
  • Delayed RIPCn = 250
  • Sham RIPCn = 251reference
Primary endpoint
Incidence of AKI (KDIGO criteria)
Methodological detailsmulticentre, sham-controlled
  • Multicentre
  • Sham-controlled

Primary result

CA-AKI

Odds ratio

0.4

95% CI 0.17–0.94

P = 0.03

By group

Delayed RIPCvs Sham RIPC
OR 0.4 (95% CI 0.17–0.94); P = 0.03

As reported in the abstract

Original publication

Remote ischaemic pre-conditioning, kidney injury, and outcomes after coronary angiography and intervention: a randomized trial. Eur Heart J. Published 11 March 2025. doi:10.1093/eurheartj/ehaf135

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