Reactions 1680, p189 - 2 Dec 2017 Acute kidney injury: 2 case reports In a prospective study, two patients [ages and sexes not stated] were described, who developed acute kidney injury during treatment with iopromide [times to reactions onset not stated; not all outcomes stated]. The patients had a history of type 2 diabetes mellitus and renal impairment. Both patients were scheduled to undergo coronary angiography/percutaneous coronary intervention with or without simultaneous coronary sinus aspiration. The patients received IV sodium chloride before the coronary angiography and was continued for 24 hours. The patients also received acetylcysteine [N-acetylcysteine] for 24 hours prior and also on the day of the coronary angiography procedure. The coronary angiography was performed using the standard technique via the right femoral approach. A 100% undiluted non-ionic contrast namely, iopromide was injected manually. The dose of iopromide was limited to 5 mL/kg of body weight if not surpassing 300mL, divided by the serum creatinine level. Coronary sinus aspiration was performed along with each iopromide injection in one patient. The patient, who underwent coronary angiography using iopromide along with simultaneous coronary sinus aspiration developed iopromide- induced acute kidney injury and was managed conservatively till spontaneous recovery was achieved. The other patient, who underwent coronary angiography using iopromide without simultaneous coronary sinus aspiration developed iopromide-induced acute kidney injury requiring haemodialysis. Author comment: "One patient in the CSA group, compared with 9 patients in the control group, developed contrast-induced acute kidney injury Diab OA, et al. Efficacy and Safety of Coronary Sinus Aspiration During Coronary Angiography to Attenuate the Risk of Contrast-Induced Acute Kidney Injury in Predisposed Patients. Circulation: Cardiovascular Interventions 10: e004348, No. 1, Jan 2017. Available from: URL: http://doi.org/10.1161/ CIRCINTERVENTIONS.116.004348 - Egypt 803284692 0114-9954/17/1680-0001/$14.95 Adis © 2017 Springer International Publishing AG. All rights reserved Reactions 2 Dec 2017 No. 1680
Reactions Weekly – Springer Journals
Published: Dec 2, 2017
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