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A novel strategy to prevent contrast nephropathy: “Continuous hemodiafiltration”
Author(s) -
McCullough Peter A.,
Goldstein James A.
Publication year - 2020
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.29356
Subject(s) - medicine , contrast induced nephropathy , acute kidney injury , aortography , contrast (vision) , intravascular volume status , hemodynamics , cardiology , intensive care medicine , percutaneous coronary intervention , aorta , artificial intelligence , computer science , myocardial infarction
Key Points Pre‐procedural “at risk” assessment for Contrast Induced Acute Kidney Injury (CI‐AKI). Peri‐procedural volume expansion is essential. Contrast Minimus: Practice “As Low as Reasonably Allowable”. Fewer views, minimal contrast per‐injection and utilization of adjunctive direct coronary imaging. No left ventriculography or aortography.Optimize Renal Hemodynamics: Pre‐procedural treatment of systemic venous‐renal congestion. Avoidance of intra‐procedural hypotension.