When Prevention is Truly Better than Cure: Contrast-Associated Acute Kidney Injury in Percutaneous Coronary Intervention

Tea Isaac; Salima Gilani; Neal S. Kleiman

doi:10.14797/mdcvj.1136

When Prevention is Truly Better than Cure: Contrast-Associated Acute Kidney Injury in Percutaneous Coronary Intervention

Tea Isaac, Salima Gilani, Neal S. Kleiman

Research output: Contribution to journal › Review article › peer-review

2 Scopus citations

Abstract

Contrast-associated acute kidney injury (CA-AKI) is a fairly frequent complication of cardiovascular angiography and percutaneous coronary intervention (PCI). The risk is significantly higher in patients with advanced chronic kidney disease (CKD). Prevention is the only option for avoiding the significant morbidity and mortality associated with CA-AKI. This review provides a concise and clinically directed appraisal of the latest pre-procedural and peri-procedural strategies to minimize the risk of CA-AKI in all patients undergoing PCI. By broadly implementing these evidence-based care bundles, we can dramatically improve outcomes in this vulnerable patient population.

Original language	English (US)
Pages (from-to)	73-85
Number of pages	13
Journal	Methodist DeBakey cardiovascular journal
Volume	18
Issue number	4
DOIs	https://doi.org/10.14797/mdcvj.1136
State	Published - 2022

Keywords

acute kidney injury
cardiogenic shock
contrast associated kidney injury
contrast induced nephropathy
coronary artery disease
percutaneous coronary intervention

ASJC Scopus subject areas

Medicine(all)

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10.14797/mdcvj.1136

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title = "When Prevention is Truly Better than Cure: Contrast-Associated Acute Kidney Injury in Percutaneous Coronary Intervention",

abstract = "Contrast-associated acute kidney injury (CA-AKI) is a fairly frequent complication of cardiovascular angiography and percutaneous coronary intervention (PCI). The risk is significantly higher in patients with advanced chronic kidney disease (CKD). Prevention is the only option for avoiding the significant morbidity and mortality associated with CA-AKI. This review provides a concise and clinically directed appraisal of the latest pre-procedural and peri-procedural strategies to minimize the risk of CA-AKI in all patients undergoing PCI. By broadly implementing these evidence-based care bundles, we can dramatically improve outcomes in this vulnerable patient population.",

keywords = "acute kidney injury, cardiogenic shock, contrast associated kidney injury, contrast induced nephropathy, coronary artery disease, percutaneous coronary intervention",

author = "Tea Isaac and Salima Gilani and Kleiman, {Neal S.}",

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T2 - Contrast-Associated Acute Kidney Injury in Percutaneous Coronary Intervention

AU - Isaac, Tea

AU - Gilani, Salima

AU - Kleiman, Neal S.

PY - 2022

Y1 - 2022

N2 - Contrast-associated acute kidney injury (CA-AKI) is a fairly frequent complication of cardiovascular angiography and percutaneous coronary intervention (PCI). The risk is significantly higher in patients with advanced chronic kidney disease (CKD). Prevention is the only option for avoiding the significant morbidity and mortality associated with CA-AKI. This review provides a concise and clinically directed appraisal of the latest pre-procedural and peri-procedural strategies to minimize the risk of CA-AKI in all patients undergoing PCI. By broadly implementing these evidence-based care bundles, we can dramatically improve outcomes in this vulnerable patient population.

AB - Contrast-associated acute kidney injury (CA-AKI) is a fairly frequent complication of cardiovascular angiography and percutaneous coronary intervention (PCI). The risk is significantly higher in patients with advanced chronic kidney disease (CKD). Prevention is the only option for avoiding the significant morbidity and mortality associated with CA-AKI. This review provides a concise and clinically directed appraisal of the latest pre-procedural and peri-procedural strategies to minimize the risk of CA-AKI in all patients undergoing PCI. By broadly implementing these evidence-based care bundles, we can dramatically improve outcomes in this vulnerable patient population.

KW - acute kidney injury

KW - cardiogenic shock

KW - contrast associated kidney injury

KW - contrast induced nephropathy

KW - coronary artery disease

KW - percutaneous coronary intervention

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JO - Methodist DeBakey cardiovascular journal

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When Prevention is Truly Better than Cure: Contrast-Associated Acute Kidney Injury in Percutaneous Coronary Intervention

Abstract

Keywords

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