Acute Renal Failure/Acute Kidney Injury (AKI) Associated with Endovascular Procedures
AKI is one of the most common yet underdiagnosed postoperative complications that can occur after any type of surgery. Contrast-induced nephropathy (CIN) is still poorly defined and due to a wide range of confounding individual variables, its risk is difficult to determine. CIN mainly affects patien...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-05-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/10/5/274 |
| _version_ | 1797568941952860160 |
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| author | Zbigniew Krasinski Beata Krasińska Marta Olszewska Krzysztof Pawlaczyk |
| author_facet | Zbigniew Krasinski Beata Krasińska Marta Olszewska Krzysztof Pawlaczyk |
| author_sort | Zbigniew Krasinski |
| collection | DOAJ |
| description | AKI is one of the most common yet underdiagnosed postoperative complications that can occur after any type of surgery. Contrast-induced nephropathy (CIN) is still poorly defined and due to a wide range of confounding individual variables, its risk is difficult to determine. CIN mainly affects patients with underlying chronic kidney disease, diabetes, sepsis, heart failure, acute coronary syndrome and cardiogenic shock. Further research is necessary to better understand pathophysiology of contrast-induced AKI and consequent implementation of effective prevention and therapeutic strategies. Although many therapies have been tested to avoid CIN, the only potent preventative strategy involves aggressive fluid administration and reduction of contrast volume. Regardless of surgical technique—open or endovascular—perioperative AKI is associated with significant morbidity, mortality and cost. Endovascular procedures always require administration of a contrast media, which may cause acute tubular necrosis or renal vascular embolization leading to renal ischemia and as a consequence, contribute to increased number of post-operative AKIs. |
| first_indexed | 2024-03-10T20:04:05Z |
| format | Article |
| id | doaj.art-066f661539e949e8928d09009c2cbc89 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-10T20:04:05Z |
| publishDate | 2020-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-066f661539e949e8928d09009c2cbc892023-11-19T23:20:58ZengMDPI AGDiagnostics2075-44182020-05-0110527410.3390/diagnostics10050274Acute Renal Failure/Acute Kidney Injury (AKI) Associated with Endovascular ProceduresZbigniew Krasinski0Beata Krasińska1Marta Olszewska2Krzysztof Pawlaczyk3Department of Vascular, Endovascular Surgery, Angiology and Phlebology, Poznan University of Medical Sciences, 61-848 Poznan, PolandDepartment of Hypertension, Angiology and Internal Disease, Poznan University of Medical Sciences, 61-848 Poznan, PolandDepartment of Nephrology, Transplantology and Internal Medicine, Poznan University of Medical Sciences, 60-355 Poznan, PolandDepartment of Nephrology, Transplantology and Internal Medicine, Poznan University of Medical Sciences, 60-355 Poznan, PolandAKI is one of the most common yet underdiagnosed postoperative complications that can occur after any type of surgery. Contrast-induced nephropathy (CIN) is still poorly defined and due to a wide range of confounding individual variables, its risk is difficult to determine. CIN mainly affects patients with underlying chronic kidney disease, diabetes, sepsis, heart failure, acute coronary syndrome and cardiogenic shock. Further research is necessary to better understand pathophysiology of contrast-induced AKI and consequent implementation of effective prevention and therapeutic strategies. Although many therapies have been tested to avoid CIN, the only potent preventative strategy involves aggressive fluid administration and reduction of contrast volume. Regardless of surgical technique—open or endovascular—perioperative AKI is associated with significant morbidity, mortality and cost. Endovascular procedures always require administration of a contrast media, which may cause acute tubular necrosis or renal vascular embolization leading to renal ischemia and as a consequence, contribute to increased number of post-operative AKIs.https://www.mdpi.com/2075-4418/10/5/274acute kidney injuryendovascular procedurescontrast-induced nephropathyrisk factorscontrast media |
| spellingShingle | Zbigniew Krasinski Beata Krasińska Marta Olszewska Krzysztof Pawlaczyk Acute Renal Failure/Acute Kidney Injury (AKI) Associated with Endovascular Procedures Diagnostics acute kidney injury endovascular procedures contrast-induced nephropathy risk factors contrast media |
| title | Acute Renal Failure/Acute Kidney Injury (AKI) Associated with Endovascular Procedures |
| title_full | Acute Renal Failure/Acute Kidney Injury (AKI) Associated with Endovascular Procedures |
| title_fullStr | Acute Renal Failure/Acute Kidney Injury (AKI) Associated with Endovascular Procedures |
| title_full_unstemmed | Acute Renal Failure/Acute Kidney Injury (AKI) Associated with Endovascular Procedures |
| title_short | Acute Renal Failure/Acute Kidney Injury (AKI) Associated with Endovascular Procedures |
| title_sort | acute renal failure acute kidney injury aki associated with endovascular procedures |
| topic | acute kidney injury endovascular procedures contrast-induced nephropathy risk factors contrast media |
| url | https://www.mdpi.com/2075-4418/10/5/274 |
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