Acute Kidney Injury After Percutaneous Coronary Intervention Guided by Intravascular Ultrasound.
In: Cureus, Jg. 16 (2024-03-29), Heft 3, S. e57164
Online
academicJournal
Zugriff:
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.
(Copyright © 2024, Tran Duc et al.)
Titel: |
Acute Kidney Injury After Percutaneous Coronary Intervention Guided by Intravascular Ultrasound.
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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 |
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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 |
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