Work

Can Peripheral Angiography Be Safely Performed in Patients with Chronic Renal Insufficiency Without Significant Risk of Contrast-Associated Renal Injury in Outpatient Settings?

Year: 2026

Type: article

Abstract: Contrast-associated acute kidney injury (CA-AKI) is a known complication following coronary angiographic procedures using iodinated contrast media (ICM). The risk of CA-AKI is multifactorial, dependent largely on estimated glomerular filtration rates. The most important and accepted hospital-based preventive strategy involves both a reduction of iodinated contrast and multi-hour pre- and post-intervention normal saline hydration. Because of time constraints, neither ambulatory surgical centers (ASC), nor outpatient-based laboratories (OBL) can provide similar degrees of pre- and post-intervention hydration. The utilization of carbon dioxide (CO2) imaging, intravascular ultrasonography, and limited iso-osmolar contrast agents may provide an alternative preventive strategy.

Source: Journal of Community Hospital Internal Medicine Perspectives

DOI: 10.55729/2000-9666.1642

Authors: Mubashar Choudry, Artem Shmelev, 0. Pierce Sebastian, Noor-E-Fatima Khan, Aleezay Farhat, Donald Wilkerson

Institution: Stony Brook Medicine

Language: English

Topic: Acute Kidney Injury Research

Subfield: Nephrology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $500