Corrigendum to “Contrast media use in patients with chronic kidney disease undergoing coronary angiography: A systematic review and meta-analysis of randomized trials” [Int. J. Cardiol. (2017) 137–144]

Pandya, Bhavi; Chalhoub, Jean M.; Parikh, Valay; Gaddam, Sainath; Spagnola, Jonathan; El‐Sayegh, Suzanne; Bogin, Marc; Kandov, Ruben; Lafferty, James; Bangalore, Sripal

doi:10.1016/j.ijcard.2017.03.021

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“…Our study confirmed the result from Kooiman et al that there seemed to be no association between volume of contrast media and CI-AKI [30]. As other studies, use of IOCM showed non-significant benefit in preventing CI-AKI when compared to LOCM in high risk patients [21, 28]. We also found no difference in CI-AKI risk with iodixanol compared with a diverse group of LOCM.…”

Section: Discussionsupporting

confidence: 91%

“…In contrast, other studies demonstrated that there existed no significant difference in CI-AKI incidence (defined by an initial increase in SCr level ≥ 0.5 mg/dl) between IOCM and LOCM in high risk patients [11]. Studies comparing nephrotoxicity of IOCM and LOCM reported a controversial conclusion [26–28]. A prior meta-analysis suggested that IOCM had no significant difference in the incidences of post-procedure hemodialysis or death over LOCM [29].…”

Section: Discussionmentioning

confidence: 99%

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Comparative effect of iso-osmolar versus low-osmolar contrast media on the incidence of contrast-induced acute kidney injury in diabetic patients: a systematic review and meta-analysis

et al. 2019

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Background Contrast-induced acute kidney injury (CI-AKI) is a major adverse effect caused by intravascular administration of iodinated contrast medium. Whether there is a difference in CI-AKI incidence between iso-osmolar (IOCM) and low-osmolar contrast media (LOCM) among diabetic patients is controversial. Methods Randomized controlled trials comparing the nephrotoxic effects between IOCM and LOCM in diabetic patients with or without CKD (eGFR< 60 ml/min/1.73 m 2 ) were included in the analysis. The incidence of CI-AKI was defined as an initial increase in serum creatinine (SCr) concentration of at least 0.5 mg/dl or a rise in creatinine of 25% from baseline. Results A total of 2190 patients were included, among whom 1122 patients received IOCM and 1068 received LOCM. When compared to LOCM, IOCM had no significant benefit in preventing CI-AKI (OR = 1.66, [CI: 0.97–2.84], P = 0.06, I 2 = 54%). However, the difference between IOCM and LOCM was found when CI-AKI was defined as an absolute SCr increase (≥0.5 mg/dl) rather than a relative SCr increase (≥25%). Further analysis showed that LOCM resulted in more adverse events. Conclusions Whether there is a difference of CI-AKI incidence between IOCM and LOCM in diabetic patients was related to the selected diagnostic criteria. The incidence of adverse events was significantly lower with IOCM when compared with LOCM. Therefore, we suggest that IOCM may be used in diabetic and CKD (eGFR< 60 ml/min/1.73 m 2 ) patients. Electronic supplementary material The online version of this article (10.1186/s40644-019-0224-6) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Comparative effect of iso-osmolar versus low-osmolar contrast media on the incidence of contrast-induced acute kidney injury in diabetic patients: a systematic review and meta-analysis

et al. 2019

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Corrigendum to “Contrast media use in patients with chronic kidney disease undergoing coronary angiography: A systematic review and meta-analysis of randomized trials” [Int. J. Cardiol. (2017) 137–144]

Abstract: Corrigendum to "Contrast media use in patients with chronic kidney disease undergoing coronary angiography: A systematic review and meta-analysis of randomized trials" [Int. J. Cardiol. (2017) 137-144]

Cited by 1 publication

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Comparative effect of iso-osmolar versus low-osmolar contrast media on the incidence of contrast-induced acute kidney injury in diabetic patients: a systematic review and meta-analysis

Comparative effect of iso-osmolar versus low-osmolar contrast media on the incidence of contrast-induced acute kidney injury in diabetic patients: a systematic review and meta-analysis

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