Prevention of contrast-induced nephropathy with haemofiltration in high-risk patients after percutaneous coronary intervention

Rey, J.; Iglesias, Diego; Sá, Esteban López de; Armada, Eduardo; Moreno, Raúl; Salvador, O.; Monedero, Maria del Carmen; Iniesta, Ángel M.; López‐Sendón, José

doi:10.3109/17482941.2011.606476

Cited by 1 publication

(1 citation statement)

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“…Patients already under hemodialysis do not require volume support before a contrast study, and dialysis after the procedure is necessary only with frank liquid overload. As to hemofiltration, benefits in high-risk cohorts were not confirmed, despite some authors' successful use in very high-risk patients with Stage 5 CKD before and after the radiographic contrast study [19,21,85,86].…”

Section: /8mentioning

confidence: 99%

Contrast-induced Acute Kidney Injury: A Contemporary Review

Khilchuk¹,

Власенко²,

Scherbak³

et al. 2018

Int J Ren Dis Ther

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Clinically significant Contrast-Induced Acute Kidney Injury (CIAKI) is a severe complication of interventional contrast-based procedures of all kinds. It involves high morbidity, mortality, social and financial losses. Acute renal damage after coronary angiography or percutaneous coronary intervention may occur in 1-2% of cases in the general population or 50+% of cases with high CIAKI exposure. It is essential to detect high-risk patients with renal damage as a major and frequent CIAKI predisposing factor. There are novel biomarkers with rapid or nearly instant response to acute subclinical contrast-induced renal damage, which are highly valuable in CIAKI diagnosis and for this reason desire deeper clinical research. Despite a number of controversies, prophylactic and therapeutic measures are practically the same in a vast majority of guidelines. An intravenous 0.9% NaCl solution remains the only proven measure in CIAKI prophylaxis and treatment, while the use of other pharmacological approaches still needs more relevant prospective clinical research. The aim of this paper was to review contemporary evidencebased CIAKI data.

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Section: /8mentioning

confidence: 99%