Insuficiência renal induzida por contraste: estudo prospectivo

Antunes, Luís; Baptista, Ana; Moreira, Joana; Anacleto, Gabriel; Gonçalves, Óscar F.; Matos, Ana Sofia

doi:10.1016/s1646-706x(13)70017-x

Cited by 3 publications

(4 citation statements)

References 8 publications

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“…Another important risk factor reported in most articles was the presence of diabetes mellitus (DM) and systemic arterial hypertension (SAH). Going against the results of Antunes et al [34], who evaluated 54 hospitalized patients who underwent cardiac catheterization, in which the prevalence of ARF was 24.1% in 13 cases, precisely in patients with DM and SAH, being less prevalent in patients without DM and SAH. It was also noted that ARF in most patients was irreversible.…”

Section: Discussionmentioning

confidence: 96%

“…Regarding the volume of contrast used in the procedure, it was shown that large volumes, resulting from longer procedure times, become a risk factor for ARF. Antunes et al [34] evaluated 54 patients who received the average volume of 234.8 mL of contrast, with 209.7 mL in diagnostic procedures and 345.5 mL in therapeutic. There were 33.4% of cases of ARF, which were related to the majority of patients who received higher doses of contrast volume, being explained by the longer time of cardiac catheterization and requiring the use of more contrast.…”

Section: Discussionmentioning

confidence: 99%

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Risk Factors for Acute Renal Failure after Cardiac Catheterization Most Cited in the Literature: An Integrative Review

Sardinha

Simor

Moura

et al. 2020

IJERPH

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Acute renal failure (ARF) represents 17% of the complications of cardiac catheterization (CC), with a high death rate and longer hospitalization time. The objective of this review is to describe the most cited risk factors for acute kidney failure in the literature. It is a descriptive and exploratory Integrative Literature Review (ILR) with a qualitative approach, using articles published in the Latin American and Caribbean Health Sciences Literature (LILACS) and PubMed databases between the years of 2009 and 2019 in English, Portuguese, and Spanish, including original articles, reviews, and case studies. The search was made using the following descriptors: cardiac catheterism, kidney diseases, risk factors, coronary catheterization, acute kidney injury, acute renal failure, and nephropathies. The organization and analysis of the data was through the application of a questionnaire that was structured by the authors, and the results are presented in a table. For the final sample, 10 articles were sought. The highlighted factors were being elderly, hypertensive, and diabetic; having previous kidney disease, hypotension, heart failure, higher contrast volumes, and types; the use of non-steroidal anti-inflammatory drugs associated to other risk factors; and atrial fibrillation. Atrial fibrillation was the main finding, which has recently been documented. The identification of risk factors provides health professionals with information to plan measures to prevent ARF, minimizing complications, length of stay, and mortality.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Risk Factors for Acute Renal Failure after Cardiac Catheterization Most Cited in the Literature: An Integrative Review

Sardinha

Simor

Moura

et al. 2020

IJERPH

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“… 8 , 9 Although controversial, it is believed that CM are responsible for induction of renal vasoconstriction, which is the main cause of the renal ischemia and tubular toxicity. 10 , 11 Finally, the ischemia causes reactive oxygen species (ROS) to form, which compound the ischemia and exacerbate kidney damage, preventing filtration and, primarily, tubular reabsorption. 5 , 6 …”

Section: Introductionmentioning

confidence: 99%

“…A fisiopatologia da NIC consiste em uma disfunção súbita da função renal que ocorre entre 24 e 72 horas após a administração de meios de contraste (MC) 8 , 9 . Embora controverso, acredita-se que o MC seja responsável por induzir a vasoconstrição renal, a qual seria a principal causadora da isquemia renal e da toxicidade tubular 10 , 11 . A isquemia, por fim, causa a formação de espécies reativas de oxigênio (ROS), que, somadas à isquemia, aumentam a lesão renal, dificultando a filtração e principalmente a reabsorção tubular 5 , 6 .…”

Section: Introductionunclassified

Avaliação dos níveis de creatinina em pacientes submetidos à tomografia contrastada: uma metanálise

Moro

Strauch²,

Groto

et al. 2021

J. vasc. bras.

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Resumo A variação do valor encontrado nos exames de creatinina em pacientes submetidos à tomografia computadorizada (TC) contrastada tem sido utilizada como método prático para a avaliação de possíveis lesões renais causadas pelo uso do contraste. Entre os critérios, considera-se o aumento absoluto de creatinina sérica ≥ 0,5 mg/dL ou relativo em ≥ 25% para possíveis distúrbios renais, como a nefropatia induzida por contraste (NIC). Nosso objetivo foi analisar a incidência de NIC através de uma metanálise envolvendo nove artigos relacionados à incidência de lesão renal por contraste, sendo calculado o odds ratio (OR) e o intervalo de confiança (IC95%) por meio do programa RStudio. A incidência de NIC em pacientes submetidos a TC foi de 11,29%, sendo o OR de 1,38 (IC95% 0,88–2,16). Contrastes não iônicos apresentam maior segurança em seu uso que outros tipos de contraste, e o volume maior que 115 mL pode estar relacionado a NIC. A doença renal prévia apresentou significado estatístico em agravar a NIC.

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Evaluation of prediction score of contrast-induced nephropathy in inpatients undergone to digital or CT angiography

Jesus-Silva¹,

Chaves²,

Maciel³

et al. 2020

Rev Cienc Saude

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Objectives: To assess the incidence of contrast-induced nephropathy (CIN) and determine the Mehran Score's (MS) ability to predict CIN in patients undergoing digital angiography or computed tomography angiography. Methods: 252 medical records of inpatients who underwent DA or CTA over 28 months in a quaternary hospital were reviewed. CIN was defined as serum creatinine> 0.5 mg / dL or > 25% increase in baseline creatinine, 48 h after administration of iodinated contrast. The ROC curve and the area under the curve (AUC) were used as a score test. Results: The majority (159; 63.1%) were male, and the average age was 60.4 years. Anemia, diabetes mellitus, and age > 75 years were the most prevalent factors. The incidence of CIN was 17.8% (n = 45). There was a decrease in the mean values of creatinine pre and post among patients who did not suffer CIN (1.38 ± 1.22 vs 1.19 ± 0.89; t = 3.433; p = 0.0007), while among patients who suffering CIN, the mean increase was 1.03 mg / dL (1.43 ± 1.48 vs 2.46 ± 2.35 mg / dL; t = 5.44; p = 0.117). The ROC curve analysis identified a low correlation between MS and the occurrence of CIN (AUC = 0.506). Conclusion: The incidence of CIN in hospitalized patients undergoing angiography or computed tomography angiography was high. The EM did not allow the prediction of NIC.

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Insuficiência renal induzida por contraste: estudo prospectivo

Cited by 3 publications

References 8 publications

Risk Factors for Acute Renal Failure after Cardiac Catheterization Most Cited in the Literature: An Integrative Review

Risk Factors for Acute Renal Failure after Cardiac Catheterization Most Cited in the Literature: An Integrative Review

Avaliação dos níveis de creatinina em pacientes submetidos à tomografia contrastada: uma metanálise

Evaluation of prediction score of contrast-induced nephropathy in inpatients undergone to digital or CT angiography

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