Prevention and management of contrast-induced acute kidney injury

被引：4
作者：
Patricia J. M. Best
David R. Holmes
机构：
[1] Division of Cardiovascular Diseases, Mayo Clinic, Rochester, MN 55905
来源：
Current Treatment Options in Cardiovascular Medicine | 2012年 / 14卷 / 1期
关键词：
Acute renal failure; Angiography; Contrast; Kidney disease; Percutaneous coronary intervention;
D O I：
10.1007/s11936-011-0162-5
中图分类号：
学科分类号：
摘要：
Opinion statement: Contrast-induced acute kidney injury (AKI) is an important complication associated with coronary angiography, percutaneous coronary intervention, and computed tomography studies. The increasing utilization of contrast agents for imaging makes the importance of this complication even greater. Patients can be risk stratified for the risk of contrast-induced AKI by several clinical factors including hypotension, renal function, age, advanced heart failure, anemia, and diabetes mellitus. Contrast volume is also an important and modifiable risk factor for AKI. For the prevention of contrast-induced AKI, multiple approaches have been tried. The most effective prevention strategy is hydration. Normal saline has been the standard, but other options such as sodium bicarbonate may be a reasonable alternative. Further studies will be required to clarify the best preventive strategies. © 2011 Springer Science+Business Media, LLC.
引用
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页码：1 / 7
页数：6
相关论文
共 37 条
[1]  
Nash K., Hafeez A., Hou S., Hospital-acquired renal insufficiency, American Journal of Kidney Diseases, 39, 5, pp. 930-936, (2002)
[2]  
Rihal C.S., Textor S.C., Grill D.E., Berger P.B., Ting H.H., Best P.J., Singh M., Bell M.R., Barsness G.W., Mathew V., Garratt K.N., Holmes Jr. D.R., Incidence and prognostic importance of acute renal failure after percutaneous coronary intervention, Circulation, 105, 19, pp. 2259-2264, (2002)
[3]  
James M.T., Ghali W.A., Knudtson M.L., Ravani P., Tonelli M., Faris P., Pannu N., Manns B.J., Klarenbach S.W., Hemmelgarn B.R., Alberta provincial project for outcome assessment in coronary heart disease (approach) investigators. Associations between acute kidney injury and cardiovascular and renal outcomes after coronary angiography, Circulation, 123, 4, pp. 409-416, (2011)
[4]  
McCullough P.A., Wolyn R., Rocher L.L., Levin R.N., O'Neill W.W., Acute renal failure after coronary intervention: Incidence, risk factors, and relationship to mortality, American Journal of Medicine, 103, 5, pp. 368-375, (1997)
[5]  
Budano C., Levis M., D'Amico M., Usmiani T., Fava A., Sbarra P., Burdese M., Segoloni G.P., Colombo A., Marra S., Impact of contrast-induced acute kidney injury definition on clinical outcomes, Am Heart J, 161, 5, pp. 963-971, (2011)
[6]  
Levey A.S., Coresh J., Greene T., Stevens L.A., Zhang Y., Hendriksen S., Kusek J.W., Van Lente F., Using standardized serum creatinine values in the modification of diet in renal disease study equation for estimating glomerular filtration rate, Annals of Internal Medicine, 145, 4, pp. 247-254, (2006)
[7]  
Lakhal K.E., Acute kidney injury network definition of contrast-induced nephropathy in the critically ill: Incidence and outcome, J Crit Care, (2011)
[8]  
Guttterez N.V., Diaz A., Timmis G.C., O'Neill W.W., Stevens M.A., Sandberg K.R., Mccullough P.A., Determinants of serum creatinine trajectory in acute contrast nephropathy, Journal of Interventional Cardiology, 15, 5, pp. 349-354, (2002)
[9]  
Sendeski M.M., Pathophysiology of renal tissue damage by iodinated contrast media, Clin Exp Pharm Physio, 38, 4, pp. 292-299, (2011)
[10]  
Mehran R., Aymong E.D., Nikolsky E., Lasic Z., Iakovou I., Fahy M., Mintz G.S., Lansky A.J., Moses J.W., Stone G.W., Leon M.B., 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, pp. 1391-1399, (2004)
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