Ravi A Thakker1, Aiham Albaeni1, Haider Alwash1, Syed Gilani2. 1. Department of Internal Medicine, Division of Cardiology, Medical Branch, University of Texas, 301 University Blvd, Galveston, TX, 77550, USA. 2. Department of Internal Medicine, Division of Cardiology, Medical Branch, University of Texas, 301 University Blvd, Galveston, TX, 77550, USA. sagilani@utmb.edu.
Abstract
PURPOSE OF REVIEW: Management of patients presenting with acute coronary syndrome (ACS) includes invasive procedures that may increase the risk of acute kidney injury (AKI). AKI adversely affects the outcomes of such procedures and complicates the management of ACS. We have summarized several strategies for the prevention and management of AKI in this critical patient group including in the pre-procedural, intraprocedural, and post-procedural settings. RECENT FINDINGS: Definitive prevention and management strategies for AKI in patients presenting with ACS requiring invasive management can be confounded by the variation in data outcomes. Pre-procedural hydration with normal saline when accounting for time to catheterization, radial artery access, contrast stewardship, and close monitoring of renal function after catheterization should be implemented.
PURPOSE OF REVIEW: Management of patients presenting with acute coronary syndrome (ACS) includes invasive procedures that may increase the risk of acute kidney injury (AKI). AKI adversely affects the outcomes of such procedures and complicates the management of ACS. We have summarized several strategies for the prevention and management of AKI in this critical patient group including in the pre-procedural, intraprocedural, and post-procedural settings. RECENT FINDINGS: Definitive prevention and management strategies for AKI in patients presenting with ACS requiring invasive management can be confounded by the variation in data outcomes. Pre-procedural hydration with normal saline when accounting for time to catheterization, radial artery access, contrast stewardship, and close monitoring of renal function after catheterization should be implemented.
Authors: Mark E Thomas; Caroline Blaine; Anne Dawnay; Mark A J Devonald; Saoussen Ftouh; Chris Laing; Susan Latchem; Andrew Lewington; David V Milford; Marlies Ostermann Journal: Kidney Int Date: 2014-10-15 Impact factor: 10.612
Authors: Philip W Chui; Craig S Parzynski; Joseph S Ross; Nihar R Desai; Hitinder S Gurm; John A Spertus; Arnold H Seto; Vivian Ho; Jeptha P Curtis Journal: J Am Heart Assoc Date: 2019-01-22 Impact factor: 5.501