Acute Kidney Injury After Percutaneous Coronary Intervention Guided by Intravascular Ultrasound

被引：0

作者：

Duc, Minh Tran ^{[1
]}

Quoc, Thai Nguyen ^{[2
]}

Nguyen, Bach Yen T. ^{[1
]}

Quang, Ngoc Vu ^{[2
]}

Duc, Nhuong Nguyen ^{[2
]}

Duc, Hung Nguyen ^{[1
]}

Hoai, Lam Truong ^{[1
]}

Hoai, Vu Nguyen ^{[1
]}

Kieu, Hung Phan ^{[3
]}

Trung, Hieu Nguyen ^{[3
]}

机构：

[1] Tam Anh Hosp, Cardiol, Hanoi, Vietnam

[2] Vietnam Natl Heart Inst, C4 Dept, Hanoi, Vietnam

[3] Tam Anh Hosp, Anesthesiol & Crit Care, Hanoi, Vietnam

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2024年 / 16卷 / 03期

关键词：

ivus-guided pci; iodinated contrast; intravascular ultrasound (ivus); primary percutaneous coronary; intervention (pci); contrast-induced acute kidney injury; CONTRAST-MEDIA USE; METAANALYSIS; ANGIOGRAPHY;

D O I：

10.7759/cureus.57164

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Purpose We investigated the impact of intravascular ultrasound guidance on reducing the incidence of contrast-induced acute kidney injury (CI-AKI) in patients undergoing percutaneous coronary intervention (PCI). Methods Ninety-nine patients were enrolled in this prospective cohort who were not randomly assigned to angiography-guided percutaneous coronary intervention or intravascular ultrasound-guided percutaneous coronary intervention. The patients were hospitalized at the Vietnam National Heart Institute - Bach Mai Hospital between 2019 and 2020. Acute kidney injury incidence during hospitalization was the primary endpoint. Results A total of 99 patients were divided into two groups: the intravascular ultrasound-guided group (33 participants) and the angiography-guided group (66 participants). The mean +/- SD contrast volume of each group was 95.2 +/- 37.1 mL and 133.0 +/- 36.0 mL for the ultrasound-guided and angiography-guided groups, with P < 0.0001. Intravascular imaging-guided percutaneous coronary intervention (IVUS-guided PCI) was associated with reduced acute kidney injury incidence during hospitalization: 0.0% vs. 12.12% and P = 0.049. Conclusions Intravascular ultrasound is a safe imaging tool that guides percutaneous coronary intervention and significantly reduces the rate of acute kidney injury compared to angiography alone. Patients who have a high chance of experiencing acute kidney injury benefit from using intravascular ultrasound.

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页数：7

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