Contrast-Induced Acute Kidney Injury: The At-Risk Patient and Protective Measures |
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| Authors: | Jeremiah R. Brown Craig A. Thompson |
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| Affiliation: | 1.Invasive Cardiology and Vascular Medicine,Yale University School of Medicine,New Haven,USA;2.The Dartmouth Institute for Health Policy and Clinical Practice, Section of Cardiology,Dartmouth Medical School,Hanover,USA |
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| Abstract: | Contrast-induced acute kidney injury (CI-AKI) is a major complication following radiocontrast procedures. In this review, we characterize the recent literature on CI-AKI, risk factors, prevention, biomarkers, and new technologies. The premise of CI-AKI prophylaxis should focus on implementing mandatory standing orders before and after cardiac catheterization for hydration with normal saline or sodium bicarbonate and use of high-dose (1200-mg) N-acetylcysteine. Contrast agents may play a role in preventing CI-AKI. Implement catheter-laboratory technology and awareness to limit the amount of contrast dye used for any patient. |
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