Prevention and Management of AKI in ACS Patients Undergoing Invasive Treatments

Ravi A. Thakker, Aiham Albaeni, Haider Alwash, Syed Gilani

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose of Review: Management of patients presenting with acute coronary syndrome (ACS) includes invasive procedures that may increase the risk of acute kidney injury (AKI). AKI adversely affects the outcomes of such procedures and complicates the management of ACS. We have summarized several strategies for the prevention and management of AKI in this critical patient group including in the pre-procedural, intraprocedural, and post-procedural settings. Recent Findings: Definitive prevention and management strategies for AKI in patients presenting with ACS requiring invasive management can be confounded by the variation in data outcomes. Summary: Pre-procedural hydration with normal saline when accounting for time to catheterization, radial artery access, contrast stewardship, and close monitoring of renal function after catheterization should be implemented.

Original languageEnglish (US)
JournalCurrent Cardiology Reports
DOIs
StateAccepted/In press - 2022

Keywords

  • Acute coronary syndrome
  • Acute kidney injury
  • Cardiac catheterization
  • Contrast induced nephropathy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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