Determinants of amount of contrast utilized in patients undergoing percutaneous coronary procedures

Pradhan, Jyotiranjan; Niraj, Ashutosh; Afonso, Luís

doi:10.1097/mca.0b013e328056dd46

Cited by 5 publications

(2 citation statements)

References 41 publications

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“…Marenzi et al 1 has shown increased CV in those with disease in the left coronary arteries compared to those with disease in the right coronary arteries; however, similar to the study by Mager et al, their sample size was also limited to patients with STEMI. In contrast, the study by Pradhan et al 12 did not find any difference in CV in patients with diseased left versus right coronary arteries. None of the above-mentioned studies have demonstrated the association of CV use with the number of obstructed vessels.…”

Section: Discussionmentioning

confidence: 71%

“…Increased use of CV has been associated with lesions in the left coronary arteries compared to the right coronary arteries, 1 but the data are conflicting. 12 The association of CV and severity and complexity of coronary artery disease (CAD) remains unknown. Synergy between Percutaneous Coronary Intervention with Taxus and Cardiac Surgery (SYNTAX) is an angiographic tool for grading CAD complexity and severity.…”

Section: Introductionmentioning

confidence: 99%

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Do Cardiovascular Risk Factors and Coronary SYNTAX Score Predict Contrast Volume Use During Cardiac Catheterization?

et al. 2015

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The association of cardiovascular risk factors and complexity and severity of coronary artery disease with contrast volume (CV) remains unknown. We assessed the predictive factors of CV use during elective and emergent cardiac catheterization (CC). Electronic medical records from 2010 to 2013 were retrospectively reviewed. A total of 708 patients were eligible. On multivariable regression analysis, the presence of obstructed coronary arteries was associated with CV (P = .01, β = -14.17), with greater CV used in patients with single or double vessel disease compared to those with triple vessel disease. The presence of lesions with >70% stenosis in major epicardial arteries (P = .019, β = 24.39) and ST-segment elevation myocardial infarction (P = .001, β = 36.14) was associated with increased CV use. Elevated B-type natriuretic peptide (P = .036, β = -17.23) and increase in Synergy between Percutaneous Coronary Intervention with Taxus and Cardiac Surgery score (P = .024, β = -29.06) were associated with decreased CV use. These aforementioned associations were attenuated after adjusting for percutaneous coronary intervention. Our findings may help predict patient populations who could be exposed to increased CV during CC, thereby possibly increasing their risk of contrast-induced nephropathy.

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Section: Discussionmentioning

confidence: 71%

Section: Introductionmentioning

confidence: 99%