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No prophylaxis is non-inferior and cost-saving to prophylactic intravenous hydration in preventing contrast-induced nephropathy on requiring iodinated contrast material administration.

作者信息

Sato Akira, Hoshi Tomoya, Aonuma Kazutaka

机构信息

Department of Cardiology, Faculty of Medicine, University of Tsukuba, 1-1-1, Tennodai, Tsukuba, Japan.

出版信息

J Thorac Dis. 2017 Jun;9(6):1440-1442. doi: 10.21037/jtd.2017.05.59.

DOI:10.21037/jtd.2017.05.59
PMID:28740652
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5506129/
Abstract
摘要

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No prophylaxis is non-inferior and cost-saving to prophylactic intravenous hydration in preventing contrast-induced nephropathy on requiring iodinated contrast material administration.在需要使用碘化造影剂时，在预防造影剂肾病方面，没有任何预防措施在效果上不劣于预防性静脉补液且成本更低。
J Thorac Dis. 2017 Jun;9(6):1440-1442. doi: 10.21037/jtd.2017.05.59.
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本文引用的文献

1
Prophylactic hydration to protect renal function from intravascular iodinated contrast material in patients at high risk of contrast-induced nephropathy (AMACING): a prospective, randomised, phase 3, controlled, open-label, non-inferiority trial.预防性水化以保护高危对比剂肾病（AMACING）患者的肾功能免受血管内碘造影剂影响：一项前瞻性、随机、3 期、对照、开放标签、非劣效性试验。
Lancet. 2017 Apr 1;389(10076):1312-1322. doi: 10.1016/S0140-6736(17)30057-0. Epub 2017 Feb 21.
2
Association of contrast-induced nephropathy with risk of adverse clinical outcomes in patients with cardiac catheterization: From the CINC-J study.心脏导管插入术患者中对比剂诱导的肾病与不良临床结局风险的关联：来自CINC-J研究
Int J Cardiol. 2017 Jan 15;227:424-429. doi: 10.1016/j.ijcard.2016.11.019. Epub 2016 Nov 7.
3
Role of hydration in contrast-induced nephropathy in patients who underwent primary percutaneous coronary intervention.水化在接受直接经皮冠状动脉介入治疗患者的对比剂肾病中的作用。
Am J Cardiol. 2015 May 1;115(9):1174-8. doi: 10.1016/j.amjcard.2015.02.004. Epub 2015 Feb 12.
4
Remedial hydration reduces the incidence of contrast-induced nephropathy and short-term adverse events in patients with ST-segment elevation myocardial infarction: a single-center, randomized trial.补救性补液可降低ST段抬高型心肌梗死患者造影剂肾病的发生率和短期不良事件：一项单中心随机试验。
Intern Med. 2014;53(20):2265-72. doi: 10.2169/internalmedicine.53.1853. Epub 2014 Oct 15.
5
Randomised trial of no hydration vs. sodium bicarbonate hydration in patients with chronic kidney disease undergoing acute computed tomography-pulmonary angiography.随机对照试验比较慢性肾脏病患者行急性 CT 肺动脉造影时不水化与碳酸氢钠水化的效果。
J Thromb Haemost. 2014 Oct;12(10):1658-66. doi: 10.1111/jth.12701. Epub 2014 Sep 26.
6
Association of contrast-induced acute kidney injury with long-term cardiovascular events in acute coronary syndrome patients with chronic kidney disease undergoing emergent percutaneous coronary intervention.对比剂诱导的急性肾损伤与行急诊经皮冠状动脉介入治疗的慢性肾脏病急性冠状动脉综合征患者长期心血管事件的相关性。
Int J Cardiol. 2014 Jun 1;174(1):57-63. doi: 10.1016/j.ijcard.2014.03.146. Epub 2014 Mar 28.
7
Clinical predictors of contrast-induced acute kidney injury in patients undergoing emergency versus elective percutaneous coronary intervention.在接受紧急和择期经皮冠状动脉介入治疗的患者中，对比剂诱导急性肾损伤的临床预测因素。
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8
Contrast-induced acute kidney injury and risk of adverse clinical outcomes after coronary angiography: a systematic review and meta-analysis.对比剂诱导的急性肾损伤与冠状动脉造影后不良临床结局的风险：系统评价和荟萃分析。
Circ Cardiovasc Interv. 2013 Feb;6(1):37-43. doi: 10.1161/CIRCINTERVENTIONS.112.974493. Epub 2013 Jan 15.
9
A randomized prospective trial to assess the role of saline hydration on the development of contrast nephrotoxicity.
Nephron Clin Pract. 2003 Jan;93(1):C29-34. doi: 10.1159/000066641.
10
Renal failure after major angiography.大型血管造影术后肾衰竭。
Am J Med. 1980 Jan;68(1):43-6. doi: 10.1016/0002-9343(80)90163-1.