keyword
MENU ▼
Read by QxMD icon Read
search

prevention of contrast induced nephropathy

keyword
https://www.readbyqxmd.com/read/27863354/contrast-media-use-in-patients-with-chronic-kidney-disease-undergoing-coronary-angiography-a-systematic-review-and-meta-analysis-of-randomized-trials
#1
Bhavi Pandya, Jean Chaloub, Valay Parikh, Sainath Gaddam, Jonathan Spagnola, Suzanne El-Sayegh, Marc Bogin, Ruben Kandov, James Lafferty, Sripal Bangalore
BACKGROUND: Patients with chronic kidney disease (CKD) undergoing coronary angiography (CA), adequate hydration and minimizing volume of contrast media (CM) are class 1b recommendations for preventing contrast induced nephropathy (CIN). Current data are insufficient to justify specific recommendations about isoosmolar vs. low-osmolar contrast media by the ACCF/AHA/SCAI guidelines. METHODS: Randomized trials comparing IOCM to LOCM in CKD stage 3 and above patients undergoing CA, and reporting incidence of CIN (defined by a rise in creatinine of 25% from baseline) were included in the analysis...
November 9, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/27861357/the-effect-of-alprostadil-on-preventing-contrast-induced-nephropathy-for-percutaneous-coronary-intervention-in-diabetic-patients-a-systematic-review-and-meta-analysis
#2
Ziliang Ye, Haili Lu, Wenqin Guo, Weiran Dai, Hongqing Li, Huafeng Yang, Lang Li
BACKGROUND: At present, there are a lot of research about the effect of Alprostadil on preventing contrast-induced nephropathy for percutaneous coronary intervention (PCI) in diabetic patients, but the clinical efficacy is not consistent, so we conduct this study and therefore determine the dominant strategy for the treatment of PCI in diabetic patients based on the best evidence currently. METHODS: An electronic database search was conducted in MEDLINE, Embase, Cochrane library, CBM, CNKI, VIP, and WanFang to retrieve randomized controlled trial (RCT) comparing Alprostadil versus hydration on preventing CIN for PCI in diabetic patients...
November 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27831955/ce-preventing-contrast-induced-acute-kidney-injury
#3
Yvonne Gallegos, Asma Ali Taha, Dana N Rutledge
: Diagnostic radiographic imaging scans using intravascular iodinated contrast media can lead to various complications. The most salient of these is contrast-induced acute kidney injury (CI-AKI) or contrast-induced nephropathy, a potentially costly and serious patient safety concern. Prevention strategies are the cornerstone of evidence-based clinical management for patients receiving contrast agents. These include preprocedure screening, stratification of patients based on risk factors, and protective interventions, the most important of which is hydration both before and after the radiographic imaging scan...
December 2016: American Journal of Nursing
https://www.readbyqxmd.com/read/27828735/contrast-media-induced-renal-inflammation-is-mediated-through-hmgb1-and-its-receptors-in-human-tubular-cells
#4
Xiao-Feng Guan, Qing-Jie Chen, Xiao-Cong Zuo, Ren Guo, Xiang-Dong Peng, Jiang-Lin Wang, Wen-Jun Yin, Dai-Yang Li
With the rapid development of imaging diagnosis and interventional therapy, contrast media (CM) are widely used in clinics. However, contrast-induced nephropathy (CIN) is the third leading cause of hospital-acquired acute renal failure accounting for 10-12% of all causes of hospital-acquired renal failure. Recent study found that inflammation may participate in the pathogenesis of CIN, but the role of it remains unclear. HK-2 cells were treated with Iohexol, Urografin, and mannitol. Two types of CM increased the release of HMGB1 in cell supernatant accompanied by increased expression of TLR2 and CXCR4...
November 9, 2016: DNA and Cell Biology
https://www.readbyqxmd.com/read/27814282/nephroprotective-effects-of-remote-ischemic-preconditioning-in-coronary-angiography
#5
Naufal Zagidullin, Alina Dunayeva, Alexander Gilmanov, Shamil Zagidullin, Valentin Pavlov
BACKGROUND: Contrast-induced nephropathy (CIN) is a formidable side effect of iodinated contrast medium use in subjects undergoing coronary angiogram (CAG). Remote ischemic preconditioning (RIPC) may reduce the risk of CIN. AIM: The aim of the study was to investigate the nephroprotective effects of RIPC in coronary heart disease (CHD) in patients, undergoing CAG, with mild to moderate lowered estimated glomerular filtration rate (eGFR). MATERIALS: In the randomized, blinded, sham RIPC (sRIPC) controlled study 51 patients with CHD and GFR less than 80 mL/min/m2, undergoing CAG, were investigated...
November 4, 2016: Clinical Hemorheology and Microcirculation
https://www.readbyqxmd.com/read/27800691/xuezhikang-ameliorates-contrast-media-induced-nephropathy-in-rats-via-suppression-of-oxidative-stress-inflammatory-responses-and-apoptosis
#6
Shichun Chu, Liuhua Hu, Xiaolei Wang, Shiqun Sun, Tuo Zhang, Zhe Sun, Linghong Shen, Shuxuan Jin, Ben He
BACKGROUND: The aim of this study was to assess the preventive effect of xuezhikang (XZK) to replace atorvastatin on the contrast media-induced acute kidney injury (CI-AKI). METHODS: The male Sprague-Dawley rats were divided into five groups: group 1 (sham), injected with normal saline; group 2 (XZK), treated with XZK; group 3 contrast media (CM), injected with CM; group 4 (CM + ATO), injected with CM + pretreatment with atorvastatin; group 5 (CM + XZK), injected with CM + pretreatment with XZK...
November 1, 2016: Renal Failure
https://www.readbyqxmd.com/read/27775793/microrna-125b-contributes-to-high-glucose-induced-reactive-oxygen-species-generation-and-apoptosis-in-hk-2-renal-tubular-epithelial-cells-by-targeting-angiotensin-converting-enzyme-2
#7
Y-F Huang, Y Zhang, C-X Liu, J Huang, G-H Ding
OBJECTIVE: Hyperglycemia induces apoptosis of renal tubular epithelial cells and contributes to tubular injury in diabetic nephropathy. Angiotensin-converting enzyme 2 (ACE2) is known to protect against diabetic kidney injury. However, the mechanism for the dysregulation of ACE2 expression in diabetic nephropathy is unclear. MATERIALS AND METHODS: Bioinformatic analysis and luciferase reporter assay were done to identify ACE2-targeting microRNAs. Gain- and loss-of-function experiments were performed to determine the biological roles of the ACE2-targeting microRNAs in high glucose-induced damage to renal tubular epithelial cells...
October 2016: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/27773418/complications-encountered-in-coronary-chronic-total-occlusion-intervention-prevention-and-bailout
#8
REVIEW
Debabrata Dash
Despite the continuing developments of improved medical devices and increasing operator expertize, coronary chronic total occlusion (CTO) remains as one of the most challenging lesion subsets in interventional cardiology. Percutaneous coronary intervention (PCI) of CTO is a complex procedure carrying the risk of complications that are responsible for significant morbidity and mortality. The complications can be classified as coronary (such as coronary occlusion, perforation, device embolization, or entrapment); cardiac non-coronary (such as periprocedural myocardial infarction); extra cardiac (such as vascular access complications, systemic embolization, contrast-induced nephropathy, and radiation-induced injury)...
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27721227/prevention-of-contrast-induced-nephropathy-with-oxygen-supplementation-a-randomized-controlled-trial
#9
Farzanehsadat Minoo, Mahboob Lessan-Pezeshki, Ata Firouzi, Salman Nikfarjam, Seyed Mansoor Gatmiri, Elham Ramezanzade
INTRODUCTION: The aim of the study was to investigate the efficacy of nasal oxygen as a supplementation to hydration therapy in reducing the risk of developing contrast-induced nephropathy (CIN). MATERIALS AND METHODS: In a randomized controlled trial, 348 patients scheduled to undergo elective coronary angiography were randomly allocated to standard hydration plus 2 L/min to 3 L/min nasal oxygen (from 10 minutes before the procedure until the end of the procedure) (n = 176) or standard hydration alone (n = 176)...
September 2016: Iranian Journal of Kidney Diseases
https://www.readbyqxmd.com/read/27695914/brain-natriuretic-peptide-for-prevention-of-contrast-inducednephropathy-a-meta-analysis-of-randomized-controlled-trials
#10
Xue-Biao Wei, Lei Jiang, Xin-Rong Liu, Dan-Qing Yu, Ning Tan, Ji-Yan Chen, Ying-Ling Zhou, Peng-Cheng He, Yuan-Hui Liu
PURPOSE: Contrast-induced nephropathy (CIN) is a serious complication and associated with poor clinical outcomes. The protective value of brain natriuretic peptide (BNP) administration on CIN is still controversial in patients undergoing percutaneous coronary intervention (PCI) or coronary angiography (CAG). We performed a meta-analysis of randomized controlled trials (RCTs) for BNP in preventing CIN. METHODS: We systematically searched PubMed, Web of Science, Cochrane Library, and ClinicalTrials...
November 2016: European Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/27663415/effectiveness-of-n-acetylcysteine-for-the-prevention-of-contrast-induced-nephropathy-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#11
Renfan Xu, Anyu Tao, Yang Bai, Youbin Deng, Guangzhi Chen
BACKGROUND: Conflicting results have been obtained in trials that have evaluated the prophylactic efficacy of N-acetylcysteine (NAC) pretreatment in the prevention of contrast-induced nephropathy (CIN). In this meta-analysis of randomized controlled trials, we aimed to assess the effectiveness of NAC treatment for the prevention of CIN. METHODS AND RESULTS: PubMed, EMBASE, and the Cochrane Library were electronically searched from inception to January 2016 for all relevant studies...
September 23, 2016: Journal of the American Heart Association
https://www.readbyqxmd.com/read/27570749/preventive-effect-of-atorvastatin-80-mg-on-contrast-induced-nephropathy-after-angiography-in-high-risk-patients-double-blind-randomized-clinical-trial
#12
Arezoo Khosravi, Mitra Dolatkhah, Hesam Sadat Hashemi, Zohreh Rostami
BACKGROUND: Contrast-induced nephropathy (CIN) is one of the most important complications of angiography in patients with chronic kidney disease (CKD) or diabetes mellitus. The prevention of CIN can decrease therapeutic costs and hospital stays. There is controversy in the literature over the preventive effect of statins on CIN. OBJECTIVES: This study was designed to evaluate the preventive effect of atorvastatin on CIN after angiography in CKD and diabetic patients...
May 2016: Nephro-urology Monthly
https://www.readbyqxmd.com/read/27566809/contrast-induced-nephropathy-in-vascular-surgery
#13
G T C Wong, E Y P Lee, M G Irwin
Contrast induced nephropathy (CIN) is traditionally associated with outpatient imaging studies. More recently, patients afflicted with vascular pathologies are increasingly undergoing endovascular treatments that require the use of iodinated contrast media (CM) agents, thus placing them as risk of developing CIN. As perioperative physicians, anaesthetists should be aware of the risk factors and measures that might minimize acute kidney injury caused by CM. This review evaluates recent data regarding preventive measures against CIN and where possible, places the evidence in the context of the patient receiving endovascular surgical treatment...
September 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/27485363/strategies-preventing-contrast-induced-nephropathy-after-coronary-angiography-a-comprehensive-meta-analysis-and-systematic-review-of-125-randomized-controlled-trials
#14
Sadegh Ali-Hassan-Sayegh, Seyed Jalil Mirhosseini, Zahra Ghodratipour, Zahra Sarrafan-Chaharsoughi, Elham Rahimizadeh, Ali Akbar Karimi-Bondarabadi, Fatemeh Haddad, Arezoo Shahidzadeh, Parisa Mahdavi, Ali-Mohammad Dehghan, Mahbube Tahernejad, Azadeh Shahidzadeh, Hamidreza Dehghan, Azam Ghanei, Mohammadreza Lotfaliani, Alexander Weymann, Mohamed Zeriouh, Aron-Frederik Popov, Anton Sabashnikov
This systematic review with meta-analysis sought to determine the strength of evidence for the effects of hydration (sodium bicarbonate [SB] and normal saline [NS]), supplementations (N-acetylcysteine [NAC] and vitamin C), and some common drugs (adenosine antagonists [AAs], statins, loop diuretics, and angiotensin-converting enzyme inhibitors [ACEIs]) on the incidence of contrast-induced nephropathy (CIN) and requirement for hemodialysis after coronary angiography. After screening, a total of 125 trials that reported outcomes were identified...
August 1, 2016: Angiology
https://www.readbyqxmd.com/read/27416703/-effectiveness-of-a-practical-protocol-for-the-prevention-of-contrast-induced-nephropathy-improved-prevention-of-contrast-induced-nephropathy
#15
Yoshito Yamaguchi, Masashi Morita, Akira Mega, Ryota Haga, Ikue Nagayama, Yu Yamanouchi, Tatsufumi Oka, Katsuyuki Nagatoya, Atsushi Yamauchi
BACKGROUND: In Japan, "Guidelines for iodinated contrast in a patient with chronic kidney disease (CKD) 2012" was published, but preventive protocols for specific contrast-induced nephropathy (CIN) have not been specified. Therefore, we developed a CIN preventive protocol, and validated its operation and renal protective effect. METHODS: In a retrospective cohort study, we determined eGFR within 3 months before contrast-enhanced computed tomography (CECT). We evaluated CKD stage 3b - 4 adult patients (eGFR 15 - 45 mL/min/1...
2016: Nihon Jinzo Gakkai Shi
https://www.readbyqxmd.com/read/27411777/the-high-risk-of-contrast-induced-nephropathy-in-patients-with-suspected-pulmonary-embolism-despite-three-different-prophylaxis-a-randomized-controlled-trial
#16
Suleyman Turedi, Erkan Erdem, Yunus Karaca, Ozgur Tatli, Aynur Sahin, Suha Turkmen, Abdulkadir Gunduz
STUDY OBJECTIVE: To compare the protective effects of N-acetylcysteine (NAC) plus normal saline (NS), sodium bicarbonate (NaHCO3) plus NS and NS alone in the prevention of contrast-induced nephropathy (CIN) after computed tomography pulmonary angiography (CTPA) in emergency patients. MATERIALS AND METHODS: This study was planned as a randomized, controlled clinical research. Patients undergoing contrast-enhanced CTPA on suspicion of pulmonary embolism (PE) in the emergency department and with at least one risk factor for development of CIN were included in one of three different prophylaxis groups...
July 14, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27404685/the-efficacy-of-n-acetylcysteine-plus-sodium-bicarbonate-in-the-prevention-of-contrast-induced-nephropathy-after-cardiac-catheterization-and-percutaneous-coronary-intervention-a-meta-analysis-of-randomized-controlled-trials
#17
Shi-Jie Zhao, Zhao-Shuang Zhong, Guo-Xian Qi, Wen Tian
BACKGROUND: The efficacy of combining use of N-acetylcysteine (NAC) and sodium bicarbonate (SOB) in the prevention of contrast-induced nephropathy (CIN) after cardiac catheterization and percutaneous coronary intervention (PCI) is unclear. METHODS: All relevant studies that compared the effect of combining the use of NAC and SOB with individual use on CIN in patients undergoing cardiac catheterization and PCI were identified by searching the databases including Pubmed, Embase, Cochrane Library, and Web of Science without time and language limitation...
October 15, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/27333047/limb-ischemic-preconditioning-protects-against-contrast-induced-nephropathy-via-renalase
#18
Feng Wang, Jianyong Yin, Zeyuan Lu, Guangyuan Zhang, Junhui Li, Tao Xing, Shougang Zhuang, Niansong Wang
Clinical trials shows that remote ischemic preconditioning (IPC) can protect against contrast induced nephropathy (CIN) in risky patients, however, the exact mechanism is unclear. In this study, we explored whether renalase, an amine oxidase that has been previously shown to mediate reno-protection by local IPC, would also mediate the same effect elicited by remote IPC in animal model. Limb IPC was performed for 24h followed by induction of CIN. Our results indicated that limb IPC prevented renal function decline, attenuated tubular damage and reduced oxidative stress and inflammation in the kidney...
July 2016: EBioMedicine
https://www.readbyqxmd.com/read/27292007/prevention-and-management-of-adverse-reactions-induced-by-iodinated-contrast-media
#19
Yi Wei Wu, Kheng Song Leow, Yujin Zhu, Cher Heng Tan
Iodinated radiocontrast media (IRCM) is widely used in current clinical practice. Although IRCM is generally safe, serious adverse drug reactions (ADRs) may still occur. IRCM-induced ADRs may be subdivided into chemotoxic and hypersensitivity reactions. Several factors have been shown to be associated with an increased risk of ADRs, including previous contrast media reactions, history of asthma and allergic disease, etc. Contrast media with lower osmolality is generally recommended for at-risk patients to prevent ADRs...
April 2016: Annals of the Academy of Medicine, Singapore
https://www.readbyqxmd.com/read/27282230/do-false-positive-alerts-in-na%C3%A3-ve-clinical-decision-support-system-lead-to-false-adoption-by-physicians-a-randomized-controlled-trial
#20
Chung-You Tsai, Shi-Heng Wang, Min-Huei Hsu, Yu-Chuan Jack Li
OBJECTIVES: False positive alerts in patient-safety-related clinical decision support systems (CDSS) are defined as alerts which incorrectly prompt when no-risk patients are encountered. It is an unfavorable condition which may potentially mislead physicians. The aim is to investigate physician responses toward false positive (FP) and true positive (TP) alerts in CDSS for the prevention of contrast-induced nephropathy (CIN). METHODS: A two-arm cluster randomized controlled trial was conducted in university hospitals...
August 2016: Computer Methods and Programs in Biomedicine
keyword
keyword
115101
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"