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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.

Competing Interests: The authors have declared that no competing interests exist.

Titel:	Acute Kidney Injury After Percutaneous Coronary Intervention Guided by Intravascular Ultrasound.
Autor/in / Beteiligte Person:	Tran Duc, M ; Nguyen Quoc, T ; Nguyen, BYT ; Vu Quang, N ; Nguyen Duc, N ; Nguyen Duc, H ; Truong Hoai, L ; Nguyen Hoai, V ; Phan Kieu, H ; Nguyen Trung, H
Link:	Zum Volltext
Zeitschrift:	Cureus, Jg. 16 (2024-03-29), Heft 3, S. e57164
Veröffentlichung:	Palo Alto, CA : Cureus, Inc., 2024
Medientyp:	academicJournal
ISSN:	2168-8184 (print)
DOI:	10.7759/cureus.57164
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Cureus] 2024 Mar 29; Vol. 16 (3), pp. e57164. <i>Date of Electronic Publication: </i>2024 Mar 29 (<i>Print Publication: </i>2024). References: J Am Coll Cardiol. 2004 Oct 6;44(7):1393-9. (PMID: 15464318) ; JACC Cardiovasc Interv. 2018 Aug 27;11(16):1601-1610. (PMID: 30139467) ; Catheter Cardiovasc Interv. 2019 Jun 1;93(7):1228-1235. (PMID: 30393942) ; Clin Med Insights Cardiol. 2019 Nov 01;13:1179546819878680. (PMID: 31700251) ; J Am Coll Cardiol. 2000 Nov 1;36(5):1542-8. (PMID: 11079656) ; J Am Soc Nephrol. 2005 Nov;16(11):3365-70. (PMID: 16177006) ; Int J Cardiol. 2017 Feb 1;228:137-144. (PMID: 27863354) ; Eur Heart J. 2019 Jan 7;40(2):79-80. (PMID: 30615155) ; JACC Cardiovasc Interv. 2019 Oct 14;12(19):1877-1888. (PMID: 31521648) ; Catheter Cardiovasc Interv. 2010 Jun 1;75(7):1076-83. (PMID: 20146209) ; J Am Coll Cardiol. 2011 Aug 23;58(9):907-14. (PMID: 21851878) ; Cardiovasc Interv Ther. 2019 Jul;34(3):234-241. (PMID: 30343351) ; Am J Kidney Dis. 2018 Jul;72(1):136-148. (PMID: 29478864) ; JACC Cardiovasc Interv. 2014 Jan;7(1):1-9. (PMID: 24456715) ; JACC Cardiovasc Interv. 2014 Nov;7(11):1287-93. (PMID: 25326742) ; J Am Heart Assoc. 2014 Dec;3(6):e001380. (PMID: 25516439) ; JACC Cardiovasc Interv. 2009 Jul;2(7):645-54. (PMID: 19628188) Contributed Indexing: Keywords: contrast-induced acute kidney injury; intravascular ultrasound (ivus); iodinated contrast; ivus-guided pci; primary percutaneous coronary intervention (pci) Entry Date(s): Date Created: 20240429 Latest Revision: 20240430 Update Code: 20240430 PubMed Central ID: PMC11056017

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Acute Kidney Injury After Percutaneous Coronary Intervention Guided by Intravascular Ultrasound.