SŮVA, Marek, Petr KALA, Martin POLOCZEK, Jan KAŇOVSKÝ, Roman ŠTÍPAL, Martin RADVAN, Jiří HLÁSENSKÝ, Martin HUDEC, Vojtěch BRÁZDIL and Jitka ŘEHOŘOVÁ. Contrast-induced acute kidney injury and its contemporary prevention. Frontiers in Cardiovascular Medicine. Lausanne: Frontiers, 2022, vol. 9, December 2022, p. 1-24. ISSN 2297-055X. Available from: https://dx.doi.org/10.3389/fcvm.2022.1073072.
Other formats:   BibTeX LaTeX RIS
Basic information
Original name Contrast-induced acute kidney injury and its contemporary prevention
Authors SŮVA, Marek (203 Czech Republic, belonging to the institution), Petr KALA (203 Czech Republic, guarantor, belonging to the institution), Martin POLOCZEK (203 Czech Republic, belonging to the institution), Jan KAŇOVSKÝ (203 Czech Republic, belonging to the institution), Roman ŠTÍPAL (203 Czech Republic, belonging to the institution), Martin RADVAN (203 Czech Republic, belonging to the institution), Jiří HLÁSENSKÝ (203 Czech Republic, belonging to the institution), Martin HUDEC (203 Czech Republic, belonging to the institution), Vojtěch BRÁZDIL (203 Czech Republic, belonging to the institution) and Jitka ŘEHOŘOVÁ (203 Czech Republic).
Edition Frontiers in Cardiovascular Medicine, Lausanne, Frontiers, 2022, 2297-055X.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30201 Cardiac and Cardiovascular systems
Country of publisher Switzerland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 3.600
RIV identification code RIV/00216224:14110/22:00128215
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.3389/fcvm.2022.1073072
UT WoS 000899788400001
Keywords in English PCI; nephrotoxicity; acute kidney injury; contrast-induced acute kidney injury; chronic renal insufficiency; prevention
Tags 14110211, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 23/1/2023 10:38.
Abstract
The complexity and application range of interventional and diagnostic procedures using contrast media (CM) have recently increased. This allows more patients to undergo procedures that involve CM administration. However, the intrinsic CM toxicity leads to the risk of contrast-induced acute kidney injury (CI-AKI). At present, effective therapy of CI-AKI is rather limited. Effective prevention of CI-AKI therefore becomes crucially important. This review presents an in-depth discussion of CI-AKI incidence, pathogenesis, risk prediction, current preventive strategies, and novel treatment possibilities. The review also discusses the difference between CI-AKI incidence following intraarterial and intravenous CM administration. Factors contributing to the development of CI-AKI are considered in conjunction with the mechanism of acute kidney damage. The need for ultimate risk estimation and the prediction of CI-AKI is stressed. Possibilities of CI-AKI prevention is evaluated within the spectrum of existing preventive measures aimed at reducing kidney injury. In particular, the review discusses intravenous hydration regimes and pre-treatment with statins and N-acetylcysteine. The review further focuses on emerging alternative imaging technologies, alternative intravascular diagnostic and interventional procedures, and new methods for intravenous hydration guidance; it discusses the applicability of those techniques in complex procedures and their feasibility in current practise. We put emphasis on contemporary interventional cardiology imaging methods, with a brief discussion of CI-AKI in non-vascular and non-cardiologic imaging and interventional studies.
PrintDisplayed: 1/5/2024 00:32