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

doi:10.1177/1179546819878680

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 journal › Review article › peer-review

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 language	English (US)
Journal	Clinical Medicine Insights: Cardiology
Volume	13
DOIs	https://doi.org/10.1177/1179546819878680
State	Published - 2019
Externally published	Yes

Keywords

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

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1177/1179546819878680

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title = "Contrast-Induced Acute Kidney Injury: Review and Practical Update",

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.",

keywords = "Contrast-induced acute kidney injury, cardiac catheterization, clinical management, pathophysiology, predictors",

author = "Ramez Morcos and Michael Kucharik and Pirya Bansal and {Al Taii}, Haider and Rupesh Manam and Joel Casale and Houman Khalili and Brijeshwar Maini",

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AU - Morcos, Ramez

AU - Kucharik, Michael

AU - Bansal, Pirya

AU - Al Taii, Haider

AU - Manam, Rupesh

AU - Casale, Joel

AU - Khalili, Houman

AU - Maini, Brijeshwar

N1 - Publisher Copyright: © The Author(s) 2019.

PY - 2019

Y1 - 2019

N2 - 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.

AB - 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.

KW - Contrast-induced acute kidney injury

KW - cardiac catheterization

KW - clinical management

KW - pathophysiology

KW - predictors

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JF - Clinical Medicine Insights: Cardiology

ER -

Contrast-Induced Acute Kidney Injury: Review and Practical Update

Abstract

Keywords

ASJC Scopus subject areas

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