Impact of a contrast media volume control device on acute kidney injury rate in patients with acute coronary syndrome.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Carlo BriguoriGiuseppe Signoriello

Abstract

The DyeVert™ system (Osprey Medical Inc., Minnesota, MN) may reduce contrast media (CM) volume during coronary procedures while maintaining fluoroscopic image quality. Here, we assessed whether the use of the DyeVert system reduces acute kidney injury (AKI) rate in patients with acute coronary syndrome (ACS) undergoing invasive coronary procedures. ACS patients scheduled for coronary procedure from January 2017 to December 2019 were included. Two groups were identified: (a) Control group (n = 339), including patients in which a conventional manual injection syringe was used; and (b) DyeVert group (n = 112), in which CM injection was handled by the DyeVert™ system. A propensity score matching was performed to reduce the effect of treatment selection bias and potential confounders. In all cases, a low-osmolar, nonionic CM was administered. The primary objective was the rate of AKI, defined as a serum creatinine increase ≥0.3 mg/dl within 72 hr after CM exposure. CM volume was higher in the Control group than in the DyeVert group (130 [120-188] ml vs. 99 [69-136] ml; p <.001). In the DyeVert group the mean percent CM volume saved was 38 ± 13%. AKI occurred in 7/90 patients (8%) in the DyeVert group and in 17/90 (19%) patients in t...Continue Reading

References

Nov 9, 2002·The American Journal of Cardiology·Rosario V FreemanUNKNOWN Blue Cross-Blue Shield of Michigan Cardiovascular Consortium (BMC2)
Mar 3, 2007·Critical Care : the Official Journal of the Critical Care Forum·Ravindra L MehtaUNKNOWN Acute Kidney Injury Network
May 14, 2008·Archives of Internal Medicine·Chirag R ParikhHarlan M Krumholz
Feb 11, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Keshav R NayakPaul S Teirstein
Aug 20, 2011·Journal of the American College of Cardiology·Hitinder S GurmUNKNOWN BMC2 (Blue Cross Blue Shield of Michigan Cardiovascular Consortium) Registry
Oct 6, 2011·Circulation. Cardiovascular Interventions·Mauro MaioliFrancesco Bellandi
May 5, 2017·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·James SapontisSteffen Desch
Jun 26, 2017·Journal of the American Heart Association·Oren CaspiDoron Aronson
Aug 31, 2018·European Heart Journal·Franz-Josef NeumannUNKNOWN ESC Scientific Document Group
Dec 21, 2018·Circulation·Kristian ThygesenUNKNOWN Executive Group on behalf of the Joint European Society of Cardiology (ESC)/American College of Cardiology (ACC)/American He

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Citations

Nov 21, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Madhura Myla, James C Blankenship

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