When Prevention is Truly Better than Cure: Contrast-Associated Acute Kidney Injury in Percutaneous Coronary Intervention.
Tea IsaacSalima GilaniNeal S KleimanPublished in: Methodist DeBakey cardiovascular journal (2022)
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.
Keyphrases
- acute kidney injury
- percutaneous coronary intervention
- chronic kidney disease
- st segment elevation myocardial infarction
- st elevation myocardial infarction
- acute myocardial infarction
- acute coronary syndrome
- antiplatelet therapy
- cardiac surgery
- coronary artery disease
- coronary artery bypass grafting
- patients undergoing
- end stage renal disease
- magnetic resonance
- healthcare
- protein kinase
- atrial fibrillation
- coronary artery bypass
- quality improvement
- computed tomography
- optical coherence tomography
- heart failure
- type diabetes
- peritoneal dialysis
- chronic pain
- insulin resistance
- health insurance
- affordable care act