Patients with symptomatic coronary artery disease, impaired renal function (GFR<60ml/min) undergoing percutaneous coronary intervention
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Patients with a clinical indication for performing a diagnostic and/or interventional heart catheterization including a coronary angiography. -Presence of chronic renal failure as defined by impaired glomerular filtration rate (GFR;=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: -Age <18 years -Cardiogenic shock -Dialysis -Prior kidney transplantation -Concurrent intake of nephrotoxic medication (e.g., non-steroidal antiphlogistics, aminoglycosides) -Contra-indications for the use of iodixanol and iomeprol -Parenteral (i.v. or i.a.) administration of iodine-containing contrast medium either 7 days before or after the catheter intervention -Presumed or demonstrated pregnancy -Patient's inability to fully cooperate with the study protocol -Prior participation to this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: This study will compare the incidence of contrast medium induced nephropathy (CIN) after a percutaneous coronary intervention in patients with impaired renal function receiving either the conventional hyperosmolar contrast medium Iomeprol 350 or the isoosmolar contast medium Iodixanol 320.;Secondary Objective: -Reassessment of primary end point at 6 months after the percutaneous coronary intervention -Cardiovascular events within 12 months (death, myocardial infarction) -Mortality within 12 months -Duration of hospitalization -Incidence of severe acute kidney failure ;Primary end point(s): The primary endpoint is CIN during primary hospitalization for coronary angioplasty. CIN is defined an increase of serum-creatinine following exposure to contrast medium. This definition adheres to commonly accepted criteria. | — |
Countries
Germany