Contrast-Induced Acute Kidney Injury: An Update

Cardiovascular Drugs and Therapy
George ChalikiasDimitrios N Tziakas

Abstract

Contrast-induced acute kidney injury (CI-AKI) is defined as an abrupt deterioration in renal function associated with the administration of iodinated contrast media. This type of acute kidney injury is frequently encountered as a complication of percutaneous coronary intervention (PCI) and is associated with adverse short- and long-term outcomes including mainly mortality, cardiovascular morbidity and prolongation of hospitalization. The incidence of CI-AKI after PCI ranges from 2 to 20 % according to baseline kidney function. It may also range according to the clinical setting, being higher after emergency PCI. The primary manifestation is a small decline in kidney function, occurring 1 to 3 days after the procedure. Kidney function usually returns to preexisting levels within 7 days. Incidence of acute renal failure requiring dialysis following PCI is rare (<1 %). The present article aims to review up-to-date published data concerning diagnosis, definition, epidemiology and prognosis of this novel in-hospital epidemic.

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Citations

May 14, 2016·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Elizabeth S RoweJames S Barnett
Aug 20, 2016·Cardiovascular Drugs and Therapy·George ChalikiasDimitrios N Tziakas
Sep 2, 2016·American Journal of Cardiovascular Drugs : Drugs, Devices, and Other Interventions·Bertrand N MuketeThierry H Le Jemtel
Aug 19, 2017·Techniques in Coloproctology·W LiE Gorgun
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Sep 4, 2019·Clinica Chimica Acta; International Journal of Clinical Chemistry·Violeta StojkovicEtienne Cavalier
May 12, 2021·The Journal of Applied Laboratory Medicine·Joe M El-KhouryF Perry Wilson
May 13, 2021·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Elizabeth S RoweLiomar A Neves
Apr 15, 2020·Cardiorenal Medicine·Levent SerifDimitrios Tziakas

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