Effectiveness of high flow-volume intermittent hemodiafiltration during and after intervention to prevent contrast-induced nephropathy in patients with advanced chronic kidney disease: A pilot study
| Autor: | Ichiro Hamanaka, Takeya Minami, Toshihiro Iwasaku, Kinzo Ueda, Naofumi Oyamada, Ayumu Fujioka, Hiroaki Fujie |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Urology Contrast-induced nephropathy Contrast Media Pilot Projects 030204 cardiovascular system & hematology Risk Assessment Intermittent Renal Replacement Therapy Nephropathy 03 medical and health sciences 0302 clinical medicine Risk Factors medicine Humans Radiology Nuclear Medicine and imaging 030212 general & internal medicine Renal Insufficiency Chronic Saline Aged Retrospective Studies Aged 80 and over business.industry Incidence (epidemiology) General Medicine Acute Kidney Injury medicine.disease Clinical trial Contrast medium Treatment Outcome Female Hemodialysis Cardiology and Cardiovascular Medicine business Kidney disease |
| Zdroj: | Catheterization and cardiovascular interventions : official journal of the Society for Cardiac AngiographyInterventionsREFERENCES. 96(6) |
| ISSN: | 1522-726X |
| Popis: | OBJECTIVES We analyzed the effect of high flow-volume intermittent hemodiafiltration (HF-IHDF) on patients with advanced chronic kidney disease (CKD) undergoing procedures requiring administration of contrast medium. BACKGROUND There is no effective method for preventing contrast-induced nephropathy (CIN), especially in patients with advanced CKD. We established HF-IHDF as a renal protective therapy with a filtration flow rate up to 5 times greater than standard continuous HDF. In this study, we tested whether HF-IHDF could prevent CIN in patients with advanced CKD more effectively than saline hydration only. METHODS We retrospectively analyzed the incidence of CIN and clinical outcomes up to 1 year after performance of a procedure in 76 patients with advanced CKD. HF-IHDF was performed from just before the procedure until 2.5 hr after it. Hydration with 0.9% saline was also administered. RESULTS The incidence of CIN was significantly lower in the HF-IHDF group than the saline group 2-3 days (0%, 0/76 patients vs. 9.3%, 5/54 patients; p |
| Databáze: | OpenAIRE |
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