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Safety of ultra‐low contrast coronary angiography in patients with acute kidney injury
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Safety of ultra‐low contrast coronary angiography in patients with acute kidney injury
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Safety of ultra‐low contrast coronary angiography in patients with acute kidney injury
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Journal Article
Safety of ultra‐low contrast coronary angiography in patients with acute kidney injury
2024
Overview
Background Ultra‐low contrast administration during coronary angiography has been previously shown to be feasible and safe among patients with stable chronic kidney disease. In the present study, we investigate the safety of ultra‐low contrast coronary angiography in patients with pre‐existing acute kidney injury (AKI). Methods The study was a retrospective single‐center evaluation of hospitalized patients who had AKI and required coronary angiography. Ultra‐low contrast use was defined as ≤18 mL of contrast media. Results The cohort consisted of a case series of eight inpatients with AKI who required coronary angiography. The mean age was 57 (±16) years and half were females. All patients had chronic kidney disease with a mean baseline estimated glomerular filtration rate of 34 (±17) mL/min/1.73 m2. The mean creatinine before angiography was 3 (±1) mg/dL and volume of contrast administered was 14 (±4) mL. One patient had a 0.1 mg/dL increase in creatinine during admission, and no patients had further AKI up to 1‐week postprocedure. Conclusions The current data suggest that ultra‐low contrast coronary angiography can be safely performed in patients with pre‐existing AKI The study should be viewed as hypothesis‐generating due to its small sample size. A larger cohort is required to validate the results. Eight patients who had acute kidney injury (AKI) and an indication for coronary angiography were included. After 24 h of stabile serum creatinine, patients underwent ultra‐low contrast angiography. None of the participants had further AKI postprocedure. This hypothesis‐generating small sample study suggests that ultra‐low contrast coronary angiography can be safely performed in patients with pre‐existing AKI.
Publisher
John Wiley & Sons, Inc,John Wiley and Sons Inc
Subject
/ Acute Kidney Injury - diagnosis
/ Adult
/ Aged
/ AKI
/ Clinical
/ Contrast Media - administration & dosage
/ Contrast Media - adverse effects
/ contrast‐induced nephropathy
/ Coronary Angiography - methods
/ Coronary Artery Disease - complications
/ Coronary Artery Disease - diagnosis
/ Female
/ Humans
/ Male
/ Patients
