Contrast Induced Nephropathy
Conditions
Keywords
contrast-induced nephropathy, contrast medium, creatinine clearance, percutaneous coronary intervention
Brief summary
To investigate the predictive value of the contrast media volume to creatinine clearance (V/CrCl) ratio for the risk of contrast-induced nephropathy (CIN) (i.e., within 48-72 h) and to determine a relatively safe V/CrCl cut-off value to avoid CIN in patients following PCI
Detailed description
contrast media volume to creatinine clearance (V/CrCl) ratios were obtained from consecutive consenting patients after unselective PCI. Receiver-operator characteristic (ROC) curves were used to identify the optimal sensitivity for the observed range of V/CrCl. The predictive value of V/CrCl for the risk of CIN was assessed using multivariate logistic regression.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* patients who agreed to stay in the hospital for 2-3 days after percutaneous coronary intervention * provided written informed consent * Creatinine Clearance:15-60ml/min
Exclusion criteria
* pregnancy * lactation * intravascular administration of an contrast medium within the previous seven days * treatment with metformin * aminoglycosides * N-acetylcysteine (NAC) * nonsteroidal anti-inflammatory drugs within the previous 48 h * intake of nephrotoxic drugs within the previous seven days * history of serious reactions to contrast mediums * severe concomitant disease * renal transplantation , or end-stage renal disease necessitating dialysis patients who died during percutaneous coronary intervention
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Contrast-Induced Nephropathy | 48-72 h | Contrast-Induced Nephropathy was defined as an increase in serum creatinine of more than 0.5 mg/dl from the baseline within 48-72 h of contrast exposure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Major adverse clinical events | 1 year | Major adverse clinical events: death, requiring renal replacement therapy, 2nd myocardial infarction,target revascularization,acute heart failure, mechanical ventilation,2nd angina,tachyarrhythmia,hypotension,intra-aortic balloon pump and stroke |
Countries
China