Acute Kidney Injury After Percutaneous Coronary Intervention Guided by Intravascular Ultrasound

Acute Kidney Injury After Percutaneous Coronary Intervention Guided by Intravascular Ultrasound

Purpose We investigated the impact of intravascular ultrasound guidance on reducing the incidence of contrast-induced acute kidney injury (CI-AKI) in patients undergoing percutaneous coronary intervention (PCI). Methods Ninety-nine patients were enrolled in this prospective cohort who were not rando...

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Published in:Curēus (Palo Alto, CA) Vol. 16; no. 3; p. e57164
Main Authors: Tran Duc, Minh, Nguyen Quoc, Thai, Nguyen, Bach Yen T, Vu Quang, Ngoc, Nguyen Duc, Nhuong, Nguyen Duc, Hung, Truong Hoai, Lam, Nguyen Hoai, Vu, Phan Kieu, Hung, Nguyen Trung, Hieu
Format: Journal Article
Language:English
Published: United States Cureus Inc 29-03-2024
Cureus
Subjects:
Acute coronary syndromes
Age
Anemia
Angioplasty
Cardiology
Chi-square test
Clinical trials
Contrast agents
Coronary vessels
Creatinine
Diabetes
Ejection fraction
Heart failure
Hospital costs
Insurance policies
Internal Medicine
Kidneys
Medical imaging
Nephrology
Stents
Toxicity
Ultrasonic imaging
Variables
Veins & arteries
contrast-induced acute kidney injury
iodinated contrast
ivus-guided pci
intravascular ultrasound (ivus)
primary percutaneous coronary intervention (pci)
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Summary:Purpose We investigated the impact of intravascular ultrasound guidance on reducing the incidence of contrast-induced acute kidney injury (CI-AKI) in patients undergoing percutaneous coronary intervention (PCI). Methods Ninety-nine patients were enrolled in this prospective cohort who were not randomly assigned to angiography-guided percutaneous coronary intervention or intravascular ultrasound-guided percutaneous coronary intervention. The patients were hospitalized at the Vietnam National Heart Institute - Bach Mai Hospital between 2019 and 2020. Acute kidney injury incidence during hospitalization was the primary endpoint. Results A total of 99 patients were divided into two groups: the intravascular ultrasound-guided group (33 participants) and the angiography-guided group (66 participants). The mean ± SD contrast volume of each group was 95.2 ± 37.1 mL and 133.0 ± 36.0 mL for the ultrasound-guided and angiography-guided groups, with P < 0.0001. Intravascular imaging-guided percutaneous coronary intervention (IVUS-guided PCI) was associated with reduced acute kidney injury incidence during hospitalization: 0.0% vs. 12.12% and P = 0.049. Conclusions Intravascular ultrasound is a safe imaging tool that guides percutaneous coronary intervention and significantly reduces the rate of acute kidney injury compared to angiography alone. Patients who have a high chance of experiencing acute kidney injury benefit from using intravascular ultrasound.
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ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.57164