Related Experiment Video

Updated: Jul 17, 2025

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
09:57

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit

Published on: July 13, 2019

13.0K

A Practical Approach to Preventing Contrast-Associated Renal Complications in the Catheterization Laboratory

Hitinder S Gurm1

  • 1Internal Medicine, University of Michigan, Ann Arbor, MI, USA.

Interventional Cardiology Clinics
|September 6, 2023
PubMed

Insights

Contrast media use in cardiac procedures can cause kidney injury. Careful hydration and contrast dosing, especially ultra-low doses for Stage IV chronic kidney disease patients, can minimize this risk.

Area of Science:

  • Cardiology
  • Nephrology
  • Radiology

Background:

  • Contrast media is widely used in catheterization laboratories for diagnostic and interventional procedures.
  • Contrast-associated acute kidney injury (CA-AKI) is a significant complication following coronary angiography and percutaneous coronary interventions.
  • Minimizing CA-AKI risk is crucial for patient outcomes.

Purpose of the Study:

  • To highlight the importance of managing contrast media use in cardiac catheterization.
  • To emphasize strategies for preventing CA-AKI.
  • To suggest specific protocols for high-risk patients.

Main Methods:

  • Review of current literature and clinical guidelines on contrast media use and CA-AKI prevention.
  • Analysis of risk factors and protective measures.
  • Focus on renal function-based contrast dosing and hydration.

Main Results:

  • Adequate hydration and appropriate contrast dosing based on renal function are key to minimizing CA-AKI.
  • Ultra-low contrast procedures (contrast dose ≤ Glomerular Filtration Rate) may offer significant benefits for patients with Stage IV chronic kidney disease.
  • Proactive management can substantially reduce the incidence of CA-AKI.

Conclusions:

  • Careful management of contrast media administration is essential in cardiac catheterization settings.
  • Renal function-based dosing and hydration are effective strategies for CA-AKI prevention.
  • Ultra-low contrast protocols warrant consideration for patients with advanced chronic kidney disease.

Keywords:
Contrast-induced acute kidney injuryRenal function-based contrast dosingUltra-low contrast volume

More Related Videos

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings06:59

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

30.5K
Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis07:11

Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis

Published on: July 19, 2018

15.4K

Related Concept Videos

Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
56
Imaging Studies VII: Vascular Imaging01:19

Imaging Studies VII: Vascular Imaging

DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
29
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
34
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
54
Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
41
Radiological Investigation I: X-ray and CT01:30

Radiological Investigation I: X-ray and CT

Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
280