X-ray Contrast Media Adverse Reaction
Conditions
Keywords
contrast induced acute kidney injury, bioimpedance
Brief summary
Bioelectrical impedance analysis guided volume expansion for the prevention of contrast induced-acute kidney injury
Detailed description
Compared bioelectrical impedance analysis guided hydration therapy versus standard hydration for the prevention of contrast induced-acute kidney injury
Interventions
bioelectrical impedance analysis guided hydration therapy : 7.5% Sodium bicarbonate 150 ml + 5% dextrose in water 850 ml IV in 6 hours rate was adjusted regarding to extracellular water/total body water * extracellular water/total body water \< 0.36 : 4 ml/kg/hr * extracellular water/total body water 0.36-0.4 : 2 ml/kg/hr * extracellular water/total body water \> 0.4 : 1 ml/kg/hr
standard hydration : 7.5%Sodium bicarbonate 150 ml + 5% dextrose in water 850 ml IV 1 ml/kg/hr in 6 hours
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age 18-90 yr 2. Chronic kidney disease stage 3 & 4 (eGFR 15-60 ml/min/m2) 3. elective cardiac catheterization
Exclusion criteria
1. Contrast media administration in the past 14 days 2. congestive heart failure (NYHA III-IV, ascites , pleuropericardial effusion ,severe valvular heart disease 3. Kidney transplant status or RRT 4. Emergency cardiac catheterization 5. Allergy to radiographic contrast media 6. Unstable renal function (change in serum creatinine ≥ 0.5 mg/dl or 25% within 14 days prior to the study 7. Not inform consent 8. left ventricular ejection fraction \< 40 % 9. Liver cirrhosis child B or C 10. Dosage of angiotensin-converting enzyme inhibitor /angiotensin II receptor blocker changed in past 2 wk
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| serum creatinine at 48-72 hours after contrast administration | 48-72 hr | Acute kidney injury |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| serum creatinine at 2 weeks after contrast administration | 2 weeks | Renal replacement therapy |