Title

Contrast Nephropathy Associated with Percutaneous Coronary Angiography and Intervention.

Document Type

Article

Publication Date

8-1-2019

Publication Title

Cardiology clinics

Abstract

Contrast nephropathy (CN) is acute kidney injury (AKI) that occurs within 24 to 72 hours of iodinated contrast medium (ICM) administration. Mechanisms of CN include hyperviscosity, free radical formation, and renal medullary oxygen supply/demand mismatch. Although risk factors for CN have been identified, it remains uncertain whether ICM causes or is simply associated with AKI. The cornerstones of CN prevention are using low-osmolal ICM, intravenous hydration, and statins, especially in patients with chronic kidney disease. With appropriate CN risk mitigation, coronary angiography and intervention should not be routinely withheld from patients with acute coronary syndromes.

PubMed ID

31279422

Volume

37

Issue

3

First Page

287

Last Page

296

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