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Contrast-Induced Nephropathy in patients submitted to percutaneous coronary intervention: an integrative review

Matheus Santos Moitinho1, Eduesley Santana Santos2, Adriano Mendes Caixeta1

  • 1Universidade Federal de São Paulo. São Paulo, São Paulo, Brazil.

Revista Brasileira De Enfermagem
|December 18, 2020
PubMed

Insights

Contrast-induced nephropathy (CIN) incidence in percutaneous coronary intervention (PCI) patients ranges from 6-24%. Advanced age, male gender, diabetes, hypertension, and contrast volume are key risk factors for CIN.

Area of Science:

  • Nephrology
  • Cardiology
  • Radiology

Background:

  • Contrast-induced nephropathy (CIN) is a significant complication following percutaneous coronary intervention (PCI).
  • Identifying incidence and risk factors for CIN is crucial for patient management.

Purpose of the Study:

  • To review scientific evidence on the incidence of CIN in patients undergoing PCI.
  • To identify factors associated with CIN development.
  • To elucidate preventive measures for CIN.

Main Methods:

  • An integrative review of literature.
  • Searched databases: VHL, PubMed, VHL Regional Portal, SciELO.
  • Included articles published between 2014 and 2019.

Main Results:

  • The incidence of CIN ranged from 6% to 24%.
  • Key risk factors identified: advanced age, male gender, diabetes mellitus, systemic arterial hypertension, contrast volume, and osmolarity.
  • Effective prophylactic agents include intravenous hydration, sodium bicarbonate, ascorbic acid, and statins.

Conclusions:

  • This review highlights major risk factors for CIN in PCI patients.
  • Identified preventive strategies can guide multidisciplinary healthcare for safe and quality patient care.
Abstract

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