Incidence and impact of acute kidney injury in patients with acute coronary syndromes treated with coronary artery bypass grafting: Insights from the Harmonizing Outcomes With Revascularization and Stents in Acute Myocardial Infarction (HORIZONS-AMI) and Acute Catheterization and Urgent Intervention Triage Strategy (ACUITY) trials

Contrast-induced acute kidney injury and mortality in ST elevation myocardial infarction treated with primary percutaneous coronary intervention

“…The lack of a direct association between the total volume of contrast media and the incidence of CI-AKI is an important finding of our investigation that is consistent with a post hoc analysis of the Harmonizing Outcomes with Revascularization and Stents in Acute Myocardial Infarction (HORIZONS-AMI) trial 8. This finding does not refute the nephrotoxicity of contrast media during cardiac procedure but rather reflects the complexity of the physiopathology of CI-AKI and the identification of independent determinants of CI-AKI in STEMI presenters.…”

Does acute kidney disease following primary percutaneous coronary intervention lead to chronic kidney disease development and progression?

“…Patients with STEMI represent higher acuity, and require hospitalization, however, current guidelines for PCI focus on preventing CIN, and do not indicate the need for renal functional monitoring following the procedure. 20,21 Prior studies of PCI associated AKI 22,23 have shown an incidence of AKI of around 10% during the hospitalization, similar to that seen in the Kofman study 9 , however, have not described long-term renal outcomes. In the Action Get with the Guidelines-CAD Registry, over 182 thousand patients underwent PCI for STEMI in the US in 2014 24 .…”

Cardiac and Vascular Surgery–Associated Acute Kidney Injury: The 20th International Consensus Conference of the ADQI (Acute Disease Quality Initiative) Group

“…4 Millions of patients undergo cardiac and vascular surgery (CVS) every year in developed countries alone. AKI is a common perioperative complication for patients undergoing both cardiac surgery [5][6][7][8][9] and vascular surgery, [9][10][11] occurring in 20% to 70% of cases depending on the type of surgery and the definition of AKI used. In addition, more and more of these patients who receive complex CVS are elderly with multiple comorbidities, which predispose to the development of AKI and potentially hasten progression to ESRD.…”