Preventing Contrast-induced Renal Failure: A Guide
#MMPMID29588714
Faggioni M
; Mehran R
Interv Cardiol
2016[Oct]; 11
(2
): 98-104
PMID29588714
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Contrast-induced acute kidney injury (CI-AKI) is characterised by a rapid
deterioration of renal function within a few days of parenteral administration of
contrast media (CM) in the absence of alternative causes. CI-AKI is the most
common form of iatrogenic kidney dysfunction with an estimated prevalence of 12 %
in patients undergoing percutaneous coronary intervention. Although usually
self-resolving, in patients with pre-existing chronic kidney disease (CKD) or
concomitant risk factors for renal damage, CI-AKI is associated with increased
short-and long-term morbidity and mortality. Therefore, risk stratification based
on clinical and peri-procedural characteristics is crucial in selecting patients
at risk of CI-AKI who would benefit the most from implementation of preventive
measures.
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