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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Autores principales: Morcos, Ramez, Kucharik, Michael, Bansal, Pirya, Al Taii, Haider, Manam, Rupesh, Casale, Joel, Khalili, Houman, Maini, Brijeshwar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Review
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6826945/
https://www.ncbi.nlm.nih.gov/pubmed/31700251
http://dx.doi.org/10.1177/1179546819878680
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author Morcos, Ramez
Kucharik, Michael
Bansal, Pirya
Al Taii, Haider
Manam, Rupesh
Casale, Joel
Khalili, Houman
Maini, Brijeshwar
author_facet Morcos, Ramez
Kucharik, Michael
Bansal, Pirya
Al Taii, Haider
Manam, Rupesh
Casale, Joel
Khalili, Houman
Maini, Brijeshwar
author_sort Morcos, Ramez
collection PubMed
description 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.
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spelling pubmed-68269452019-11-07 Contrast-Induced Acute Kidney Injury: Review and Practical Update Morcos, Ramez Kucharik, Michael Bansal, Pirya Al Taii, Haider Manam, Rupesh Casale, Joel Khalili, Houman Maini, Brijeshwar Clin Med Insights Cardiol Review 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. SAGE Publications 2019-11-01 /pmc/articles/PMC6826945/ /pubmed/31700251 http://dx.doi.org/10.1177/1179546819878680 Text en © The Author(s) 2019 http://www.creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Review
Morcos, Ramez
Kucharik, Michael
Bansal, Pirya
Al Taii, Haider
Manam, Rupesh
Casale, Joel
Khalili, Houman
Maini, Brijeshwar
Contrast-Induced Acute Kidney Injury: Review and Practical Update
title Contrast-Induced Acute Kidney Injury: Review and Practical Update
title_full Contrast-Induced Acute Kidney Injury: Review and Practical Update
title_fullStr Contrast-Induced Acute Kidney Injury: Review and Practical Update
title_full_unstemmed Contrast-Induced Acute Kidney Injury: Review and Practical Update
title_short Contrast-Induced Acute Kidney Injury: Review and Practical Update
title_sort contrast-induced acute kidney injury: review and practical update
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6826945/
https://www.ncbi.nlm.nih.gov/pubmed/31700251
http://dx.doi.org/10.1177/1179546819878680
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