Prevention and Management of AKI in ACS Patients Undergoing Invasive Treatments

Ravi A. Thakker; Aiham Albaeni; Haider Alwash; Syed Gilani

doi:10.1007/s11886-022-01742-0

Prevention and Management of AKI in ACS Patients Undergoing Invasive Treatments

Ravi A. Thakker, Aiham Albaeni, Haider Alwash, Syed Gilani

Internal Medicine

Research output: Contribution to journal › Review article › peer-review

Abstract

Purpose of Review: Management of patients presenting with acute coronary syndrome (ACS) includes invasive procedures that may increase the risk of acute kidney injury (AKI). AKI adversely affects the outcomes of such procedures and complicates the management of ACS. We have summarized several strategies for the prevention and management of AKI in this critical patient group including in the pre-procedural, intraprocedural, and post-procedural settings. Recent Findings: Definitive prevention and management strategies for AKI in patients presenting with ACS requiring invasive management can be confounded by the variation in data outcomes. Summary: Pre-procedural hydration with normal saline when accounting for time to catheterization, radial artery access, contrast stewardship, and close monitoring of renal function after catheterization should be implemented.

Original language	English (US)
Pages (from-to)	1299-1307
Number of pages	9
Journal	Current Cardiology Reports
Volume	24
Issue number	10
DOIs	https://doi.org/10.1007/s11886-022-01742-0
State	Published - Oct 2022

Keywords

Acute coronary syndrome
Acute kidney injury
Cardiac catheterization
Contrast induced nephropathy

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1007/s11886-022-01742-0

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title = "Prevention and Management of AKI in ACS Patients Undergoing Invasive Treatments",

abstract = "Purpose of Review: Management of patients presenting with acute coronary syndrome (ACS) includes invasive procedures that may increase the risk of acute kidney injury (AKI). AKI adversely affects the outcomes of such procedures and complicates the management of ACS. We have summarized several strategies for the prevention and management of AKI in this critical patient group including in the pre-procedural, intraprocedural, and post-procedural settings. Recent Findings: Definitive prevention and management strategies for AKI in patients presenting with ACS requiring invasive management can be confounded by the variation in data outcomes. Summary: Pre-procedural hydration with normal saline when accounting for time to catheterization, radial artery access, contrast stewardship, and close monitoring of renal function after catheterization should be implemented.",

keywords = "Acute coronary syndrome, Acute kidney injury, Cardiac catheterization, Contrast induced nephropathy",

author = "Thakker, {Ravi A.} and Aiham Albaeni and Haider Alwash and Syed Gilani",

note = "Publisher Copyright: {\textcopyright} 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.",

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doi = "10.1007/s11886-022-01742-0",

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T1 - Prevention and Management of AKI in ACS Patients Undergoing Invasive Treatments

AU - Thakker, Ravi A.

AU - Albaeni, Aiham

AU - Alwash, Haider

AU - Gilani, Syed

PY - 2022/10

Y1 - 2022/10

N2 - Purpose of Review: Management of patients presenting with acute coronary syndrome (ACS) includes invasive procedures that may increase the risk of acute kidney injury (AKI). AKI adversely affects the outcomes of such procedures and complicates the management of ACS. We have summarized several strategies for the prevention and management of AKI in this critical patient group including in the pre-procedural, intraprocedural, and post-procedural settings. Recent Findings: Definitive prevention and management strategies for AKI in patients presenting with ACS requiring invasive management can be confounded by the variation in data outcomes. Summary: Pre-procedural hydration with normal saline when accounting for time to catheterization, radial artery access, contrast stewardship, and close monitoring of renal function after catheterization should be implemented.

AB - Purpose of Review: Management of patients presenting with acute coronary syndrome (ACS) includes invasive procedures that may increase the risk of acute kidney injury (AKI). AKI adversely affects the outcomes of such procedures and complicates the management of ACS. We have summarized several strategies for the prevention and management of AKI in this critical patient group including in the pre-procedural, intraprocedural, and post-procedural settings. Recent Findings: Definitive prevention and management strategies for AKI in patients presenting with ACS requiring invasive management can be confounded by the variation in data outcomes. Summary: Pre-procedural hydration with normal saline when accounting for time to catheterization, radial artery access, contrast stewardship, and close monitoring of renal function after catheterization should be implemented.

KW - Acute coronary syndrome

KW - Acute kidney injury

KW - Cardiac catheterization

KW - Contrast induced nephropathy

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Prevention and Management of AKI in ACS Patients Undergoing Invasive Treatments

Abstract

Keywords

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