Abstract 2017: A Single Bolus Intravenous Administration of Sodium Bicarbonate is Effective in the Prevention of Contrast-Induced Nephropathy in Patients with Renal Insufficiency Undergoing Diagnostic Coronary Arteriography or Elective Percutaneous Coronary Intervention
| Autor: | Akira Tamura, Kumie Miyamoto, Shigeru Naono, Yoshiyuki Kawano, Munenori Kotoku, Toru Watanabe, Junichi Kadota |
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| Rok vydání: | 2008 |
| Předmět: | |
| Zdroj: | Circulation. 118 |
| ISSN: | 1524-4539 0009-7322 |
| DOI: | 10.1161/circ.118.suppl_18.s_658 |
| Popis: | BACKGROUND: Recent prospective studies have demonstrated that intravenous hydration with sodium bicarbonate (SB) is effective in the prevention of contrast-induced nephropathy (CIN). However, it has not yet been invetigated whether a single bolus intravenous administration of SB immediately before exposure to contrast media can prevent CIN. Accordingly, this prospective, controlled, randomized trial was designed to examine the efficacy of a single bolus administration of SB in the prevention of CIN in patients with renal insufficiency undergoing diagnostic coronary arteriography (CAG) or elective percutaneous coronary intervention (PCI). METHODS: A total of 144 patients with a serum creatinine level of >1.1 mg/dl and RESULTS: There were no significant group differences in age, gender, the frequencies of diabetes mellitus and PCI, serum creatinine at baseline, the volume of contrast media, and drugs administered. The single bolus intravenous administration of SB led to a significant increase in arterial blood pH (7.41 ± 0.04 to 7.43 ± 0.03, p CONCLUSIONS: A single bolus intravenous administration of SB before contrast injection is effective in the prevention of CIN in patients with renal insufficiency undergoing diagnostic CAG or elective PCI. |
| Databáze: | OpenAIRE |
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