Radiographic Contrast Agent Nephropathy
Conditions
Keywords
Contrast induced nephropathy, Diabetes Mellitus, Dexmedetomidine
Brief summary
The aim of this study was to evaluate the effects of dexmedetomidine on renal function, hormonal and hemodynamic parameters in contrast media induced diabetic patients.
Detailed description
Contrast nephropathy may occur after using intravenous contrast media and may result in acute renal failure. Contrast nephropathy usually reversible but in some cases it can be permanent. This situation increase the time of hospitalization and mortality of the patients. Although the only proved prevention from contrast nephropathy method is hydration, infusion of dexmedetomidine may keep the renal functions.
Interventions
Intravenously 1μg/kg/10min administered just before the procedure. 1 μg/kg/h administered during the angiography and was continued 1 hour after the angiography.
During 12 hours before the procedure 3 ml/kg/h 0.9 % NaCl infusion and 1 ml/kg/h during the angioplasty and 12 hours after the procedure.
Sponsors
Study design
Eligibility
Inclusion criteria
* Scheduled for percutaneous coronary angiography * \> 18 yo * Diabetic patients * Creatinin value \< 3 mg/dl
Exclusion criteria
* Contrast agent hypersensitivity * Pregnant patients * Creatinin value ≥3mg/dl * patients have acute renal failure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in glomerular renal function after percutaneous coronary angiography as measured by neutrophil gelatinase-associated lipocalin, cystatin c, blood urea nitrogen, creatinin | 1 day (from start of angioplasty till discharge from the hospital) |
Secondary
| Measure | Time frame |
|---|---|
| blood pressure | 1 day (from start of angiography till discharge from the hospital) |
| Heart rate | 1 day (from start of angiography till discharge from the hospital) |
| Blood electrolyte levels ( sodium, potassium, chloride) | before the angiography and just before the discharge from hospital |
| complete blood count | before the angiography and just before the discharge from hospital |