Contrast-Induced Acute Kidney Injury: Review and Practical Update

Ramez Morcos, Michael Kucharik, Pirya Bansal, Haider Al Taii, Rupesh Manam, Joel Casale, Houman Khalili, Brijeshwar Maini

Research output: Contribution to journalReview article

5 Scopus citations

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.

Original languageEnglish (US)
JournalClinical Medicine Insights: Cardiology
Volume13
DOIs
StatePublished - 2019

Keywords

  • Contrast-induced acute kidney injury
  • cardiac catheterization
  • clinical management
  • pathophysiology
  • predictors

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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