Predicting Contrast-Induced Renal Complications

Interv Cardiol Clin. 2020 Jul;9(3):321-333. doi: 10.1016/j.iccl.2020.02.003. Epub 2020 May 11.

Abstract

Chronic kidney disease is a major risk factor for developing coronary artery disease, serving as an independent risk factor while overlapping with other risk factors. Percutaneous coronary intervention is a cornerstone of therapy for coronary artery disease and requires contrast media, which can contribute to renal injury. Identifying patients at risk for contrast-induced nephropathy is critical for preventing renal injury, which is associated with short- and long-term mortality. Determination of the potential risk for contrast-induced nephropathy and a new need for dialysis using validated risk prediction tools is a method of identifying patients at high risk for this complication.

Keywords: Chronic kidney disease; Contrast media; Contrast-induced nephropathy; Percutaneous coronary intervention; Risk prediction.

Publication types

  • Review

MeSH terms

  • Acute Kidney Injury / chemically induced*
  • Acute Kidney Injury / complications
  • Acute Kidney Injury / mortality
  • Acute Kidney Injury / prevention & control
  • Aged
  • Aged, 80 and over
  • Contrast Media / adverse effects*
  • Coronary Artery Disease / etiology*
  • Coronary Artery Disease / surgery
  • Dialysis / methods
  • Female
  • Humans
  • Male
  • Percutaneous Coronary Intervention / adverse effects
  • Predictive Value of Tests
  • Renal Insufficiency, Chronic / complications*
  • Renal Insufficiency, Chronic / epidemiology
  • Renal Insufficiency, Chronic / therapy
  • Risk Factors
  • Risk Reduction Behavior
  • Sex Factors

Substances

  • Contrast Media