Contrast-Induced Acute Kidney Injury-Definitions, Epidemiology, and Implications

Contrast-induced acute kidney injury (CI-AKI) is the acute onset of renal injury following exposure to iodinated contrast media. Several definitions have been used, which complicates the estimation of the epidemiological relevance of this condition and comparisons in outcome research. The incidence...

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Bibliographic Details
Published inInterventional cardiology clinics Vol. 9; no. 3; p. 299
Main Authors Azzalini, Lorenzo, Kalra, Sanjog
Format Journal Article
LanguageEnglish
Published Netherlands 01.07.2020
Subjects
Acute Kidney Injury - chemically induced
Acute Kidney Injury - epidemiology
Acute Kidney Injury - mortality
Acute Kidney Injury - physiopathology
Contrast Media - adverse effects
Coronary Angiography - adverse effects
Cost of Illness
Endovascular Procedures - adverse effects
Health Care Costs - statistics & numerical data
Humans
Incidence
Contrast-induced acute kidney injury
Epidemiology
Contrast media
Contrast-induced nephropathy
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Summary:Contrast-induced acute kidney injury (CI-AKI) is the acute onset of renal injury following exposure to iodinated contrast media. Several definitions have been used, which complicates the estimation of the epidemiological relevance of this condition and comparisons in outcome research. The incidence of CI-AKI increases as a function of patient and procedure complexity in coronary, endovascular, and structural interventions. CI-AKI is associated with a high burden of short- and long-term adverse events, and leads to increased healthcare costs. This review will provide an overview of the definitions, epidemiology, and implications of CI-AKI in patients undergoing coronary, endovascular, and structural catheter-based procedures.
ISSN:2211-7466
DOI:10.1016/j.iccl.2020.02.001