Contrast-Induced Acute Kidney Injury: Review and Practical Update.

Contrast-induced acute kidney injury (CI-AKI) is an important consideration in patients undergoing cardiac catheterization. There has been a continuous strive to decrease morbidity and improve procedural safety. This review will address the pathophysiology, predictors, and clinical management of CI-...

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Detalles Bibliográficos
Publicado en:Clinical Medicine Insights: Cardiology Vol. 13
Autores principales: Morcos, Ramez, Kucharik, Michael, Bansal, Pirya, Al Taii, Haider, Manam, Rupesh, Casale, Joel, Khalili, Houman, Maini, Brijeshwar
Formato: algorithm pictorial protocol review tables/charts Journal Article
Publicado: Sage Publications Inc. 11/1/2019
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Contrast-induced acute kidney injury (CI-AKI) is an important consideration in patients undergoing cardiac catheterization. There has been a continuous strive to decrease morbidity and improve procedural safety. This review will address the pathophysiology, predictors, and clinical management of CI-AKI with a concise overview of the pathophysiology and a suggested association with left atrial appendage closure. Minimizing contrast administration and intravenous fluid hydration are the cornerstones of an effective preventive strategy. A few adjunctive pharmacotherapies hold promise, but there are no consensus recommendations on prophylactic therapies.