Predicting Contrast-Associated AKI for Intravenous Contrast Exposure and Non-coronary Angiography Procedures: A Review of the Literature | Chapter 04 | Current Trends in Medicine and Medical Research Vol. 3
Introduction:
Although cases of contrast associated AKI (CA-AKI) have been reported over the
years and several studies
exist on the
subject, there has
been little success
in terms of
developing a generally acceptable
prediction model for this preventable disease. Majority of work done has been
on patients under going coronary angiography and are not generalisable due to
heterogeneity of patients and procedure related factors.
The aim of this chapter is to review
the epidemiology and prediction models of CA-AKI in patients receiving
intravenous contrast for non-coronary angiography procedures.
Conclusion:
Although non-coronary procedures
are more routinely
performed in most
institutions, very few prediction models exist for patients undergoing
these procedures and this limits preventive efforts. Clearly, prediction
models developed for
PCI should not
be adopted for
non-coronary angiography procedures.
Author(s) Details
Dr Ogochukwu Okoye
Nephrology Unit, Department
of Medicine, Delta State University Teaching Hospital, Oghara, Delta state,
Nigeria.
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