Contrast-Induced Acute Kidney Injury: Review and Practical Update

Ramez Morcos; Michael Kucharik; Pirya Bansal; Haider Al Taii; Rupesh Manam; Joel Casale; Houman Khalili; Brijeshwar Maini

doi:10.1177/1179546819878680

Contrast-Induced Acute Kidney Injury: Review and Practical Update

Ramez Morcos
, Michael Kucharik
, Pirya Bansal
, Haider Al Taii
, Rupesh Manam
, Joel Casale
, Houman Khalili
, Brijeshwar Maini

Research output: Contribution to journal › Review article › peer-review

66 Scopus citations

Abstract

Contrast-induced acute kidney injury (CI-AKI) is an important consideration in patients undergoing cardiac catheterization. There has been a continuous strive to decrease morbidity and improve procedural safety. This review will address the pathophysiology, predictors, and clinical management of CI-AKI with a concise overview of the pathophysiology and a suggested association with left atrial appendage closure. Minimizing contrast administration and intravenous fluid hydration are the cornerstones of an effective preventive strategy. A few adjunctive pharmacotherapies hold promise, but there are no consensus recommendations on prophylactic therapies.

Original language	English (US)
Journal	Clinical Medicine Insights: Cardiology
Volume	13
DOIs	https://doi.org/10.1177/1179546819878680
State	Published - 2019
Externally published	Yes

Keywords

Contrast-induced acute kidney injury
cardiac catheterization
clinical management
pathophysiology
predictors

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1177/1179546819878680

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title = "Contrast-Induced Acute Kidney Injury: Review and Practical Update",

abstract = "Contrast-induced acute kidney injury (CI-AKI) is an important consideration in patients undergoing cardiac catheterization. There has been a continuous strive to decrease morbidity and improve procedural safety. This review will address the pathophysiology, predictors, and clinical management of CI-AKI with a concise overview of the pathophysiology and a suggested association with left atrial appendage closure. Minimizing contrast administration and intravenous fluid hydration are the cornerstones of an effective preventive strategy. A few adjunctive pharmacotherapies hold promise, but there are no consensus recommendations on prophylactic therapies.",

keywords = "Contrast-induced acute kidney injury, cardiac catheterization, clinical management, pathophysiology, predictors",

author = "Ramez Morcos and Michael Kucharik and Pirya Bansal and \{Al Taii\}, Haider and Rupesh Manam and Joel Casale and Houman Khalili and Brijeshwar Maini",

note = "Publisher Copyright: {\textcopyright} The Author(s) 2019.",

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doi = "10.1177/1179546819878680",

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volume = "13",

journal = "Clinical Medicine Insights: Cardiology",

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T2 - Review and Practical Update

AU - Morcos, Ramez

AU - Kucharik, Michael

AU - Bansal, Pirya

AU - Al Taii, Haider

AU - Manam, Rupesh

AU - Casale, Joel

AU - Khalili, Houman

AU - Maini, Brijeshwar

N1 - Publisher Copyright: © The Author(s) 2019.

PY - 2019

Y1 - 2019

N2 - Contrast-induced acute kidney injury (CI-AKI) is an important consideration in patients undergoing cardiac catheterization. There has been a continuous strive to decrease morbidity and improve procedural safety. This review will address the pathophysiology, predictors, and clinical management of CI-AKI with a concise overview of the pathophysiology and a suggested association with left atrial appendage closure. Minimizing contrast administration and intravenous fluid hydration are the cornerstones of an effective preventive strategy. A few adjunctive pharmacotherapies hold promise, but there are no consensus recommendations on prophylactic therapies.

AB - Contrast-induced acute kidney injury (CI-AKI) is an important consideration in patients undergoing cardiac catheterization. There has been a continuous strive to decrease morbidity and improve procedural safety. This review will address the pathophysiology, predictors, and clinical management of CI-AKI with a concise overview of the pathophysiology and a suggested association with left atrial appendage closure. Minimizing contrast administration and intravenous fluid hydration are the cornerstones of an effective preventive strategy. A few adjunctive pharmacotherapies hold promise, but there are no consensus recommendations on prophylactic therapies.

KW - Contrast-induced acute kidney injury

KW - cardiac catheterization

KW - clinical management

KW - pathophysiology

KW - predictors

UR - https://www.scopus.com/pages/publications/85074276376

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U2 - 10.1177/1179546819878680

DO - 10.1177/1179546819878680

M3 - Review article

AN - SCOPUS:85074276376

SN - 1179-5468

VL - 13

JO - Clinical Medicine Insights: Cardiology

JF - Clinical Medicine Insights: Cardiology

ER -

Contrast-Induced Acute Kidney Injury: Review and Practical Update

Abstract

Keywords

ASJC Scopus subject areas

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