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A Large Animal Model for Acute Kidney Injury by Temporary Bilateral Renal Artery Occlusion
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Prevention of contrast-induced acute kidney injury in patients undergoing percutaneous coronary intervention

Marco Legnazzi1, Federica Agnello1, Davide Capodanno2

  • 1Division of Cardiology, A.O.U. Policlinico “G. Rodolico­‑San Marco,” University of Catania, Catania, Italy

Kardiologia Polska
|August 1, 2020
PubMed

Insights

Contrast media used in percutaneous coronary intervention can cause kidney injury. This review covers risk factors and prevention strategies for contrast-induced acute kidney injury (CI-AKI) in these patients.

Area of Science:

  • Nephrology
  • Cardiology
  • Radiology

Background:

  • Contrast media administration is essential for percutaneous coronary intervention (PCI).
  • Contrast-induced acute kidney injury (CI-AKI) is a frequent complication of PCI, impacting patient prognosis.
  • Patient comorbidities and procedural factors are significant risk factors for CI-AKI.

Purpose of the Study:

  • To review current evidence on CI-AKI in patients undergoing PCI.
  • To discuss risk factors associated with CI-AKI development.
  • To explore future research directions for CI-AKI prevention.

Main Methods:

  • Literature review of existing studies on CI-AKI and PCI.
  • Analysis of identified risk factors for CI-AKI.
  • Discussion of current and emerging prevention strategies.

Main Results:

  • CI-AKI is a common and prognostically relevant complication of PCI.
  • Specific patient comorbidities and procedural characteristics increase CI-AKI risk.
  • Evidence-based prevention strategies are crucial for mitigating CI-AKI.

Conclusions:

  • CI-AKI remains a significant concern in PCI procedures.
  • Identifying and managing risk factors is key to CI-AKI prevention.
  • Further research is needed to optimize CI-AKI prevention strategies in PCI patients.

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