Strategies to Minimize Iodinated Contrast Volume in Patients with Chronic Kidney Disease Undergoing Peripheral Vascular Interventions.
Ann Vasc Surg
; 73: 490-495, 2021 May.
Article
em En
| MEDLINE
| ID: mdl-33556507
ABSTRACT
Peripheral vascular interventions (PVI) utilize iodinated contrast medium (ICM) to visualize intravascular lesions and guide therapy. The use of ICM carries a risk of postcontrast acute kidney injury (PC-AKI), which is increased in the elderly and in patients with chronic kidney disease (CKD). Furthermore, the risk of PC-AKI increases with the volume of ICM used. This paper reports a 94-year-old patient with CKD stage 4 who presented with chronic limb threatening ischemia. He underwent successful endovascular revascularization using a combination of CO2 and dilute ICM (total volumeâ¯=â¯6.5 mL). The case demonstrates strategies to minimize ICM during PVIs.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
/
2_ODS3
Base de dados:
MEDLINE
Assunto principal:
Dióxido de Carbono
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Radiografia Intervencionista
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Angioplastia com Balão
/
Meios de Contraste
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Insuficiência Renal Crônica
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Doença Arterial Periférica
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Isquemia
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Risk_factors_studies
Limite:
Aged80
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Humans
/
Male
Idioma:
En
Revista:
Ann Vasc Surg
Ano de publicação:
2021
Tipo de documento:
Article