When Prevention is Truly Better than Cure: Contrast-Associated Acute Kidney Injury in Percutaneous Coronary Intervention
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 signi...
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| Format: | Article |
| Language: | English |
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Houston Methodist DeBakey Heart & Vascular Center
2022-09-01
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| Series: | Methodist DeBakey Cardiovascular Journal |
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| Online Access: | https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1136 |
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| author | Isaac Tea Salima Gilani Neal S. Kleiman |
| author_facet | Isaac Tea Salima Gilani Neal S. Kleiman |
| author_sort | Isaac Tea |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-c125d2e646c846b4b93b963465e9104b |
| institution | Kabale University |
| issn | 1947-6108 |
| language | English |
| publishDate | 2022-09-01 |
| publisher | Houston Methodist DeBakey Heart & Vascular Center |
| record_format | Article |
| series | Methodist DeBakey Cardiovascular Journal |
| spelling | doaj-art-c125d2e646c846b4b93b963465e9104b2025-08-20T03:47:06ZengHouston Methodist DeBakey Heart & Vascular CenterMethodist DeBakey Cardiovascular Journal1947-61082022-09-01184738510.14797/mdcvj.1136339When Prevention is Truly Better than Cure: Contrast-Associated Acute Kidney Injury in Percutaneous Coronary InterventionIsaac Tea0Salima Gilani1Neal S. Kleiman2https://orcid.org/0000-0002-4334-8133Houston Methodist DeBakey Heart & Vascular Center, Houston Methodist Hospital, Houston, TexasHouston Methodist DeBakey Heart & Vascular Center, Houston Methodist Hospital, Houston, TexasHouston Methodist DeBakey Heart & Vascular Center, Houston Methodist Hospital, Houston, TexasContrast-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.https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1136coronary artery diseasecontrast induced nephropathyacute kidney injurycontrast associated kidney injurypercutaneous coronary interventioncardiogenic shock |
| spellingShingle | Isaac Tea Salima Gilani Neal S. Kleiman When Prevention is Truly Better than Cure: Contrast-Associated Acute Kidney Injury in Percutaneous Coronary Intervention Methodist DeBakey Cardiovascular Journal coronary artery disease contrast induced nephropathy acute kidney injury contrast associated kidney injury percutaneous coronary intervention cardiogenic shock |
| title | When Prevention is Truly Better than Cure: Contrast-Associated Acute Kidney Injury in Percutaneous Coronary Intervention |
| title_full | When Prevention is Truly Better than Cure: Contrast-Associated Acute Kidney Injury in Percutaneous Coronary Intervention |
| title_fullStr | When Prevention is Truly Better than Cure: Contrast-Associated Acute Kidney Injury in Percutaneous Coronary Intervention |
| title_full_unstemmed | When Prevention is Truly Better than Cure: Contrast-Associated Acute Kidney Injury in Percutaneous Coronary Intervention |
| title_short | When Prevention is Truly Better than Cure: Contrast-Associated Acute Kidney Injury in Percutaneous Coronary Intervention |
| title_sort | when prevention is truly better than cure contrast associated acute kidney injury in percutaneous coronary intervention |
| topic | coronary artery disease contrast induced nephropathy acute kidney injury contrast associated kidney injury percutaneous coronary intervention cardiogenic shock |
| url | https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1136 |
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