A Novel Technique for Ultra-Low Contrast Administration During Angiography or Intervention

被引:56
作者
Nayak, Keshav R. [1 ]
Mehta, Hirsch S. [2 ]
Price, Matthew J. [1 ]
Russo, Robert J. [1 ]
Stinis, Curtiss T. [1 ]
Moses, Jeffrey W. [3 ,4 ]
Mehran, Roxana [3 ,4 ]
Leon, Martin B. [3 ,4 ]
Kandzari, David E. [1 ]
Teirstein, Paul S. [1 ]
机构
[1] Scripps Clin, Div Cardiovasc Dis, La Jolla, CA 92037 USA
[2] Scripps Clin, Dept Internal Med, La Jolla, CA 92037 USA
[3] Cardiovasc Res Fdn, New York, NY USA
[4] Columbia Univ, Med Ctr, New York, NY USA
关键词
CHRONIC KIDNEY-DISEASE; INDUCED NEPHROPATHY; CORONARY-ANGIOGRAPHY; SODIUM-BICARBONATE; PREVENTION; ANGIOPLASTY; MEDIA;
D O I
10.1002/ccd.22414
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Contrast-induced nephropathy (CIN) after coronary angiography or intervention is associated with substantial morbidity. The data supporting various prophylactic measures and adjunctive therapies to prevent this complication are conflicting. However, contrast volume is clearly related to CIN after percutaneous coronary intervention (PCI), and the risk of CIN has been shown to be directly related to contrast dose. Therefore, minimizing contrast exposure is a primary method to reduce the risk of CIN, especially in at-risk patients. We report a novel technique designed to deliver ultra-low (<15 cm(3)) volume contrast to patients with chronic kidney disease undergoing coronary angiography and PCI. (C) 2010 Wiley-Liss, Inc.
引用
收藏
页码:1076 / 1083
页数:8
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