Coronary Artery Disease, Renal Impairment
Conditions
Keywords
Iodixanol, Iopamidol, coronary angiography, Contrast media-induced nephropathy
Brief summary
The main purpose of this study is to evaluate and compare the effects on kidney function of two contrast media, the iso-osmolar iodixanol and the low-osmolar iopamidol in patients at risk of kidney damage associated with the injection of contrast media. A standard hydration procedure, based on available guidelines will be given to all patients to prevent negative effects on the kidneys. Serum creatinine (SCr ) concentrations will be measured before and up to 7 days after contrast media administration to evaluate the effects on renal function.
Detailed description
GEHC has decided not to provide this detail
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects with a combination of diabetes mellitus (type I or II) and renal impairment, defined as serum creatinine (SCr ) ≥150 µmol/L (1.7 mg/dL) for men and ≥133 µmol/L (1.5 mg/dL) for women or creatinine clearance (CrCl) ≤ 50 mL/min calculated according to Cockroft-Gault formula, referred for coronary angiography with or without PCI.
Exclusion criteria
* Concurrent administration of potentially nephroprotective or nephrotoxic drugs is not allowed. Subjects undergoing dialysis or kidney transplant will not be included.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Peak increase in SCr | — |
| Incidence of contrast media-induced nephropathy from baseline up to day 3. | — |
Secondary
| Measure | Time frame |
|---|---|
| SCr concentrations up to days 3 and 7 | — |
| image quality | — |
| occurrence of adverse events and their severity and relationship with the contrast media. | — |
Countries
Sweden