Contrast Induced Nephropathy (contrastnefropathie) CT-pulmonary angiography (CTPA) Sodium bicarbonate (natriumbicarbonaat) Prevention (preventie)
Conditions
Interventions
1. Sodium Bicarbonate 1 hour prior to CTPA 1 ml/kg bodyweight
2. CTPA without any hydration.
Sponsors
Name: Judith Kooiman
Address: Leiden University Medical Center, Albinusdreef 2, Postzone C4-70, 2333 ZA Leiden, The Netherlands
email: j.kooiman@lumc.nl
tel: +31 (0)71-526.20.85
Eligibility
Inclusion criteria
Inclusion criteria: Clinical suspected PE with an indication for CT-PA with intravenous administration of iso-osmolair contrast media and eGFR < 60 ml/min.
Exclusion criteria
Exclusion criteria: 1. Age < 18 years; 2. Exposure to contrast media within 7 days; 3. Pregnancy; 4. Allergy to contrastmedia; 5. Systolic bloodpressure < 100 mmHg.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mean increase in serumcreatinine 2-4 days after CT-PA. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Increase in serum creatinine > 25% or > 44 umol/l, 3 days (+/- 1 day) after CT-PA with contrast media; 2. Increase in serum creatinine >25% or > 44 umol/l 2 months after CTPA with contrast media or the need for dialysis; 3. Increase in C-cystatine and NGAL 3 days (+/- 1 day) after CT-PA; 4. Increase in NGAL 2 hours after CT-PA. | — |
Contacts
Public ContactJudith Kooiman
Leiden University Medical Center, Albinusdreef 2, Postzone C4-70
Outcome results
None listed