造影剂引起的急性肾损伤:回顾与实践进展

IF 2.3 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Clinical Medicine Insights. Cardiology Pub Date : 2019-01-01 DOI:10.1177/1179546819878680

R. Morcos, M. Kucharik, Pirya Bansal, Haider Al Taii, Rupesh Manam, Joel A Casale, H. Khalili, Brijeshwar Maini

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引用次数: 55

摘要

造影剂引起的急性肾损伤(CI-AKI)是心导管置入术患者的一个重要考虑因素。一直在努力降低发病率和提高手术安全性。这篇综述将讨论CI-AKI的病理生理、预测因素和临床治疗，并简要概述其病理生理和与左心耳关闭的关联。减少造影剂的使用和静脉补液是有效预防策略的基石。一些辅助药物治疗有希望，但在预防性治疗方面没有一致的建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Contrast-Induced Acute Kidney Injury: Review and Practical Update

Contrast-induced acute kidney injury (CI-AKI) is an important consideration in patients undergoing cardiac catheterization. There has been a continuous strive to decrease morbidity and improve procedural safety. This review will address the pathophysiology, predictors, and clinical management of CI-AKI with a concise overview of the pathophysiology and a suggested association with left atrial appendage closure. Minimizing contrast administration and intravenous fluid hydration are the cornerstones of an effective preventive strategy. A few adjunctive pharmacotherapies hold promise, but there are no consensus recommendations on prophylactic therapies.

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来源期刊

Clinical Medicine Insights. Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

5.20

自引率

3.30%

发文量

审稿时长

8 weeks