TY - JOUR
T1 - Prevention and Management of AKI in ACS Patients Undergoing Invasive Treatments
AU - Thakker, Ravi A.
AU - Albaeni, Aiham
AU - Alwash, Haider
AU - Gilani, Syed
N1 - Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2022/10
Y1 - 2022/10
N2 - 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.
AB - 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.
KW - Acute coronary syndrome
KW - Acute kidney injury
KW - Cardiac catheterization
KW - Contrast induced nephropathy
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U2 - 10.1007/s11886-022-01742-0
DO - 10.1007/s11886-022-01742-0
M3 - Review article
C2 - 35925513
AN - SCOPUS:85135557871
SN - 1523-3782
VL - 24
SP - 1299
EP - 1307
JO - Current Cardiology Reports
JF - Current Cardiology Reports
IS - 10
ER -