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An Overview of Contrast-Associated Acute Kidney Injury Following Lower-Extremity Percutaneous Peripheral

Tung H Nguyen, Omar Sheikh, Momhammed Sha'ar

  • 1Interventional Cardiology and Vascular Medicine, Department of Medicine, Division of Cardiology, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MC 7872, San Antonio, TX 78229-3900 USA. anandprasadmd@gmail.com.

The Journal of Invasive Cardiology
|July 2, 2020
PubMed

Insights

Contrast-associated acute kidney injury (CA-AKI) is a risk after endovascular procedures. This review focuses on CA-AKI following percutaneous peripheral interventions and prevention strategies.

Area of Science:

  • Nephrology
  • Cardiology
  • Radiology

Background:

  • Contrast-associated acute kidney injury (CA-AKI) is a known complication of iodinated contrast media used in endovascular procedures.
  • CA-AKI is linked to adverse outcomes and has been extensively studied after percutaneous coronary interventions (PCI).
  • Limited research exists on CA-AKI specifically within the context of percutaneous peripheral interventions (PPI).

Purpose of the Study:

  • To review current knowledge on CA-AKI following percutaneous peripheral interventions.
  • To discuss the incidence and management differences between CA-AKI in PCI and PPI.
  • To highlight available prevention strategies for CA-AKI in the setting of PPI.

Main Methods:

  • Literature review of studies on contrast-associated acute kidney injury.
  • Comparative analysis of CA-AKI in percutaneous coronary intervention versus percutaneous peripheral intervention.
  • Synthesis of current understanding and prevention strategies for CA-AKI in PPI.

Main Results:

  • CA-AKI is a significant concern in endovascular procedures, including PPI.
  • Differences in patient populations and procedural characteristics may influence CA-AKI rates between PCI and PPI.
  • Effective prevention strategies are crucial for mitigating CA-AKI risk in PPI.

Conclusions:

  • Further research is needed to fully understand CA-AKI in percutaneous peripheral interventions.
  • Implementing preventive measures is essential for improving patient outcomes after PPI.
  • Addressing CA-AKI in PPI is critical for advancing endovascular care.

Keywords:
contrast-associated acute kidney injurycontrast-induced nephropathyendovascular proceduresiodinated contrast mediapercutaneous vascular intervention

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