Evidence-Based Management of Patients Undergoing PCI: Contrast-Induced Acute Kidney Injury

被引：38

作者：

Caixeta, Adriano

Mehran, Roxana ^{[1
]}

机构：

[1] Columbia Univ, Med Ctr, Data Coordinat & Anal Ctr Intervent Vasc Therapie, New York, NY 10022 USA

来源：

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS | 2010年 / 75卷 / 04期

关键词：

acute coronary syndrome; percutaneous coronary intervention; contrast media; PERCUTANEOUS CORONARY INTERVENTION; ACUTE-RENAL-FAILURE; INDUCED NEPHROPATHY; SODIUM-BICARBONATE; N-ACETYLCYSTEINE; CARDIAC-CATHETERIZATION; NONIONIC CONTRAST; RISK-FACTORS; LOW-OSMOLAR; PREVENTION;

D O I：

10.1002/ccd.22376

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

Contrast-induced acute kidney injury (CI-AKI) is one of the leading causes of hospital-acquired acute kidney injury. CI-AKI is highly prevalent in patients with well-known risk factors, including older age, chronic renal insufficiency, congestive heart failure, and diabetes. Thus far, no strategies have been shown to be effective in preventing CI-AKI beyond thorough patient selection, minimizing the amount of contrast agent, and meticulous hydration of the patient. The role of various drugs in preventing CI-AKI is still controversial and warrants future studies. Despite the remaining uncertainty regarding the degree of nephrotozicity produced by various contrast agents, nonionic low-osmolar contrast media may be preferred in patients at high risk for CI-AKI. (C) 2010 Wiley-Liss, Inc.

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收藏

页码：S15 / S20

页数：6

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