Contrast-induced nephropathy in percutaneous coronary intervention: Clinical case report

Authors

DOI:

https://doi.org/10.35622/j.ram.2022.04.005

Keywords:

contrast nephropathy, dialysis, kidney injury, percutaneous coronary intervention

Abstract

Contrast-induced nephropathy (CIN) is the third leading cause of in-hospital acute kidney injury. Although most cases are self-limiting and renal function returns to normal within 1-3 weeks, short-term or long-term complications such as chronic renal failure, the need for dialysis therapy, and even death. Here we present a case of a patient with ischemic heart disease, valvular injury who underwent percutaneous coronary intervention. It was concluded that the preventive measures that have shown greater effectiveness are: intravascular volume expansion (hydration), withdrawal of nephrotoxic drugs and determining that the contrast medium is of low osmolarity.

Author Biography

  • Danny Silva, University of Guayaquil

    Medico Especialista en Medina Interna, Jefe área de Emergencias en el Hospital Clínica Guayaquil, Ecuador.

References

Loforte DL, Jiménez YV, González AH, Blanco SR, López AG, Díaz IM. Evaluación de pacientes con nefropatía inducida por contraste posterior a la angioplastia coronaria transluminal percutánea. Acta Médica [Internet]. 4 de mayo de 2021 [citado 15 de mayo de 2021];22(1). Disponible en:http://www.revactamedica.sld.cu/index.php/act/article/view/108

Villalón DXC, Moreno DYRB, Mirabal DGG, Carrillo DAM, Pouymiro DSH, Romero LJLG. Nefropatía inducida por contraste en la cardiología intervencionista. Rev Cuba Cardiol Cir Cardiovasc. 27 de octubre de 2017;23(3):387-99. https://cutt.ly/UByXaWY

Loforte DL, Jiménez YV, González AH, Blanco SR, López AG, Díaz IM. Evaluación de pacientes con nefropatía inducida por contraste posterior a la angioplastia coronaria transluminal percutánea. Acta Médica. :15.http://www.revactamedica.sld.cu/index.php/act/article/view/108

Waheed S, Choi MJ. Trials and tribulations of diagnosing and preventing contrast- induced acute kidney injury. J Thorac Cardiovasc Surg. noviembre de 2021;162(5):1581-6. DOI: 10.1016/j.jtcvs.2020.06.147

Aksoy F, Aydın Baş H, Bağcı A, Basri Savaş H. Predictive value of oxidant and antioxidant status for contrast-induced nephropathy after percutaneous coronary intervention for ST-segment elevation myocardial infarction. Rev Port Cardiol. julio de 2021;40(7):489-97. DOI: 10.1016/j.repce.2021.07.018

Actualidad en nefropatía por medio de contraste [Internet]. [citado 15 de mayo de 2021]. Disponible en: https://www.elsevier.es/es-revista-nefrologia-latinoamericana-265-pdf-S2444903217300185

Cardoso PP. Contrast-induced nephropathy: Can we better predict and prevent it? Rev Port Cardiol. julio de 2021;40(7):499-500. DOI: 10.1016/j.repce.2021.07.019

Gaitan Esteban Sanchez, Ampudia Margarita Malpartida. Revista médica sinergia [Internet]. editorial medica esculapio; [citado 15 de mayo de 2021]. Disponible en: https://revistamedicasinergia.com/index.php/rms/article/view/586/977 https://doi.org/10.31434/rms.v5i10.586

He Y, Deng Y, Zhuang K, Li S, Xi J, Chen J. Predictive value of cystatin C and neutrophil gelatinase-associated lipocalin in contrast-induced nephropathy: A meta-analysis. PLoS ONE. 2 de abril de 2020;15(4):e0230934. https://doi.org/10.1371/journal.pone.0230934

Spineti PP de M. Qual o Papel dos Biomarcadores de Lesão Renal na Nefropatia Induzida por Contraste? Arq Bras Cardiol. 8 de junio de 2021;116(6):1057-8. DOI: 10.36660/abc.20210433

Korolov Y, Nogués I, Jimena Gambarte M, Sol Donato M, Graciana Ciambrone M, Novo F, et al. Microalbuminuria predicts contrast-induced nephropathy in patients with acute coronary syndrome. REC Interv Cardiol Engl Ed. 7 de julio de 2022;4337. DOI: https://doi.org/10.24875/RECICE.M20000139

Çınar T, Tanık VO, Aruğaslan E, Karabağ Y, Çağdaş M, Rencüzoğulları İ, et al. The association of PRECISE-DAPT score with development of contrast-induced nephropathy in patients with ST-elevation myocardial infarction undergoing primary percutaneous coronary intervention. Cardiovasc Interv Ther. julio de 2019;34(3):207-15. DOI: 10.1007/s12928-018-0545-6

Mas-Font S, Herrera-Gutiérrez ME, Gómez-González C, Herrera-Rojas D, Montoiro-Allue R, Sánchez-Morán F, et al. Estudio epidemiológico prospectivo sobre la nefropatía por contraste en pacientes críticos. Estudio NEFROCON. Med Intensiva. noviembre de 2021;45(8):e31-3. https://doi.org/10.1016/j.medin.2020.07.004

Liu Y, Hong D, Wang AY, Guo R, Smyth B, Liu J, et al. Effects of intravenous hydration on risk of contrast induced nephropathy and in-hospital mortality in STEMI patients undergoing primary percutaneous coronary intervention: a systematic review and meta-analysis of randomized controlled trials. BMC Cardiovasc Disord. diciembre de 2019;19(1):87. DOI: 10.1186/s12872-019-1054-y

Moitinho MS, Santos ES, Caixeta AM, Belasco AG da S, Barbosa DA, Fonseca CD da. Contrast-Induced Nephropathy in patients submitted to percutaneous coronary intervention: an integrative review. Rev Bras Enferm. 2020;73(suppl 5):e20200190. https://doi.org/10.1590/0034-7167-2020-0190

Liu Y, Tan N, Huo Y, Chen S, Liu J, Chen YD, et al. Hydration for prevention of kidney injury after primary coronary intervention for acute myocardial infarction: a randomised clinical trial. Heart. 1 de junio de 2022;108(12):948-55. DOI: 10.1136/heartjnl-2021-319716

ESUR_Guidelines_10.0_Final_Version_SPANISH.pdf [Internet]. [citado 17 de mayo de 2021]. Disponible en: https://cutt.ly/bByZKC8

de Paiva Cavalcante AT. REAÇÕES ADVERSAS RENAIS: INJÚRIA RENAL AGUDA PÓSCONTRASTE (IRA-PC) E NEFROPATIA INDUZIDA PELO CONTRASTE (NIC). En: Departamento de Radiologia da Irmandade da Santa Casa de Misericórdia de São Paulo, Garbugio Dutra B, Bauab Jr. T, Departamento de Radiologia da Clínica Mama Imagem, editores. MEIOS DE CONTRASTE Conceitos e diretrizes [Internet]. 1.a ed. Farol Editora; 2020 [citado 20 de mayo de 2021]. p. 85-119. Disponible en: https://manual.spr.org.br/meios-de-contraste-cap4 https://doi.org/10.6018/eglobal.18.4.360651

Vega F, Múgica MV, Argíz L, Bazire R, Belver MT, Friera A, et al. Protocol to prevent contrast‐induced nephropathy in parenteral challenge tests for allergy evaluation of hypersensitivity reactions to iodinated contrast media. Clin Exp Allergy. octubre de 2020;50(10):1200-3. DOI: 10.1111/cea.13709

Daño renal asociado a uso de medios de contraste [Internet]. MonKeyEM. 2020 [citado 20 de mayo de 2021]. Disponible en: https://cutt.ly/MByZB86

Published

2022-10-05

Issue

Section

Case reports

How to Cite

Silva, D., Arreaga, C., Silva , F. ., Barrera , M. ., Flores , V. ., Salazar, J., Salazar, D., Kang, E., Camacho, F., & Quintero, L. . (2022). Contrast-induced nephropathy in percutaneous coronary intervention: Clinical case report. Revista Acciones Médicas, 1(4), 49-58. https://doi.org/10.35622/j.ram.2022.04.005

Most read articles by the same author(s)

Similar Articles

1-10 of 48

You may also start an advanced similarity search for this article.