Contrast-Induced Acute Kidney Injury: Review and Practical Update. Issue 13 (October 2019)

• Record Type: Journal Article
• Authors: Morcos, Ramez; Kucharik, Michael; Bansal, Pirya; Al Taii, Haider; Manam, Rupesh; Casale, Joel; Khalili, Houman; Maini, Brijeshwar
• Is Part Of: Clinical Medicine Insights. Issue 13(2019)
• Publication Date: 2019-10
• Subjects: Contrast-induced acute kidney injury -- cardiac catheterization -- pathophysiology -- predictors -- clinical management; Cardiovascular system -- Diseases -- Periodicals; Cardiology -- Periodicals; Cardiovascular Diseases; Cardiology; Cardiovascular system -- Diseases; Electronic journals; Periodicals; Fulltext; Internet Resources; Periodicals; Periodicals; 616.12
• DOI: 10.1177/1179546819878680
• Languages: English
• ISSNs: 1179-5468

Abstract

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.