Acute Kidney Injury in Patients With Chronic Kidney Disease Undergoing Internal Carotid Artery Stent Implantation

Donahue, Michael; Visconti, Gabriella; Focaccio, Amelia; Selvetella, L; Baldassarre, M; Anselmi, Chiara; Briguori, Carlo

doi:10.1016/j.jcin.2015.05.021

Cited by 26 publications

(35 citation statements)

References 38 publications

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“…Donahue et al 60 assessed the risk of contrast-induced nephropathy associated with carotid artery stenting. The study included 126 patients with chronic kidney disease exposed to iodixanol.…”

Section: Resultsmentioning

confidence: 99%

Contrast media-induced nephropathy: how has Italy contributed in the past 30 years? A systematic review

Sessa

Rossi

Mascolo

et al. 2017

TCRM

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Background and objectiveThe use of contrast media in Italy has exponentially increased in the past 3 decades. However, it is unknown whether there has been an increase in clinical research evaluating the risks associated with contrast media usage, especially regarding contrast-induced nephropathy. To fill this gap in knowledge, we performed a systematic review.Study eligibility criteriaMeta-analyses, observational studies, and clinical trials assessing contrast media-induced nephropathy as the safety outcome, in which at least one author was affiliated with an Italian university/health care structure, were eligble.Data sourcesOvid MEDLINE, Ovid Embase, Cochrane Methodology Register, and Web of Science were screened.ParticipantsMen and women exposed to contrast media.ResultsIn total, 60 original articles were retrieved with an incremental trend between 1990 and 2017. Cohort studies were the most common study design represented. In total, 45 of 60 (75.0%) studies were monocenter studies and 41 of 60 (68.3%) received no funding. In all, 91.7% of studies disclosed no conflicts of interest and 81.7% had no external collaboration. Most of the studies provided a level of evidence of III-2 (32/60; 53.3%) and II (23/60; 38.3%). In total, 50 of 60 studies (83.3%) were published in a scientific journal ranked in the first quartile of their subject area.ConclusionThere was an increased number of studies evaluating contrast-induced nephropathy in Italy during the last three decades. These studies covered procedures to prevent contrast-induced nephropathy or aimed to identify risk factors, biomarkers, and scores, and their related prognosis.

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Section: Resultsmentioning

confidence: 99%

Contrast media-induced nephropathy: how has Italy contributed in the past 30 years? A systematic review

Sessa

Rossi

Mascolo

et al. 2017

TCRM

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“…The ACCF/AHA/SCAI guidelines reference using the risk score developed by Mehran et al which takes into account multiple variables including age, comorbidities, baseline renal function, hemodynamics, and CV . This risk score has been validated in multiple retrospective and prospective analyses of patients undergoing coronary angiography and interventions, percutaneous valve therapies, carotid stenting—and used to risk stratify patients enrolled in randomized controlled trials of pharmacotherapy to prevent AKI . Despite the recommendation to assess risk using such tools, it remains less certain that prospective knowledge of risk has meaningful impact on patient level outcomes in routine clinical practice.…”

Section: Discussionmentioning

confidence: 99%

Contemporary practice patterns related to the risk of acute kidney injury in the catheterization laboratory: Results from a survey of Society of Cardiovascular Angiography and Intervention (SCAI) cardiologists

Prasad

Sohn

Morales

et al. 2016

Cathet Cardio Intervent

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“…The ACCF/AHA/SCAI guidelines reference using the risk score developed by Mehran et al which takes into account multiple variables including age, comorbidities, baseline renal function, hemodynamics, and CV [1]. This risk score has been validated in multiple retrospective and prospective analyses of patients undergoing coronary angiography and interventions, percutaneous valve therapies, carotid stenting-and used to risk stratify patients enrolled in randomized controlled trials of pharmacotherapy to prevent AKI [12][13][14][15]. Despite the recommendation to assess risk using such tools, it remains less certain that prospective knowledge of risk has meaningful impact on patient level outcomes in routine clinical practice.…”

Section: Risk Assessmentmentioning

confidence: 99%

Contemporary Practice Patterns Related to the Risk of Acute Kidney Injury in the Catheterization Laboratory: Results From an International Survey of Society of Cardiovascular Angiography and Intervention (Scai) Cardiologists

Prasad

Morales

Williams

et al. 2016

Journal of the American College of Cardiology

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Objectives: The goal of the present study was to survey the Society of Cardiovascular Angiography and Intervention (SCAI) member cardiologists to evaluate contemporary practice patterns with regards to contrast use, acute kidney injury (AKI) risk assessment, and prevention in patients undergoing invasive angiography. We sought to compare the physician responses against guideline statements and evidence-based data from clinical studies. Methods: A 20-question online survey based on a modified Likert scale was sent out via email to the Society of Cardiovascular Angiography and Intervention (SCAI) member cardiologists. The survey questions focused on prophylaxis methods, medication management, risk assessment, contrast agent use, and postprocedure care. A scoring system was developed which examined the individual responses to analyze the 10 questions with the greatest strength of evidence in the literature and guidelines. Results: The survey was completed by 506 individuals. Selected responses of note included the use of standardized volume expansion protocols: 64.8%, use of iso-osmolar contrast (iodixanol) in the majority of patients at risk of AKI: 55%, and 27% of individuals reported diluting contrast with saline for patients at risk of AKI during coronary angiography. For questions with support from guideline documents, 56.9% of the responses were scored as concordant with evidence-based data. Individuals who reported that the risk of AKI was often or always important in planning angiography for "at risk patients" were more likely to closely monitor renal function (76.7% vs. 40.0%, P 5 0.003), obtain nephrology consultation (45.2% vs. 13.3%, P 5 0.016) and use iso-osmolar contrast agents (56.0% vs. 26.7%, P 5 0.033). Conclusions: The majority of cardiologists participating in this survey, reported practice patterns consistent with guideline and evidence-based recommendations. However, over 40% of responses to questions were inconsistent with these recommendations, suggesting continued opportunities for education and quality improvement concerning AKI prevention. V C 2016 Wiley Periodicals, Inc.

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Acute Kidney Injury in Patients With Chronic Kidney Disease Undergoing Internal Carotid Artery Stent Implantation

Abstract: AKI in CKD patients undergoing CAS is mostly due to hemodynamic depression and is associated with a higher 30-day major adverse events rate.

Cited by 26 publications

References 38 publications

Contrast media-induced nephropathy: how has Italy contributed in the past 30 years? A systematic review

Contrast media-induced nephropathy: how has Italy contributed in the past 30 years? A systematic review

Contemporary practice patterns related to the risk of acute kidney injury in the catheterization laboratory: Results from a survey of Society of Cardiovascular Angiography and Intervention (SCAI) cardiologists

Contemporary Practice Patterns Related to the Risk of Acute Kidney Injury in the Catheterization Laboratory: Results From an International Survey of Society of Cardiovascular Angiography and Intervention (Scai) Cardiologists

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