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Contrast induced acute kidney injury in interventional cardiology: an update and key guidance for clinicians
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1
Emodinamica, Dipartimento Cardio-Toraco-Vascolare, Ospedale dell’Angelo, AULSS3 Serenissima, Mestre – Venezia 30174, Italy
2
Dipartimento di Scienze Cardiologiche, Toraciche e Vascolari, Policlinico Universitario di Padova, Centro Gallucci, Padova 35122, Italy
3
Baylor University Medical Center, Baylor Heart and Vascular Hospital, Baylor Heart and Vascular Institute, Dallas, Texas 75226, USA
*Correspondence: peteramccullough@gmail.com (Peter A. McCullough)
Rev. Cardiovasc. Med. 2020, 21(1), 9–23;
https://doi.org/10.31083/j.rcm.2020.01.44
Submitted: 25 March 2020 | Accepted: 29 March 2020 | Published: 30 March 2020
Copyright: © 2020 Ronco et al. Published by IMR press.
This is an open access article under the CC BY 4.0 license
https://creativecommons.org/licenses/by/4.0/.
Abstract
Contrast-induced acute kidney injury (CI-AKI) is a serious complication that can affect outcome and prognosis of patients undergoing percutaneous diagnostic and interventional procedures in catheterization laboratories. There have been advancements in case definition and epidemiology. Additionally strategies have emerged that are positioned to have impact in the catheterization laboratory for patients undergoing cardiovascular procedures. The aim of this review is to provide the state-of-the-art of diagnosis, prevention and management of CI-AKI in interventional cardiology.
Keywords
Iodinated contrast
acute kidney injury
coronary angiography
percutaneous coronary intervention
recommendations
Figures
Figure 1.