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经皮冠状动脉介入治疗中使用超低对比剂容量与急性肾损伤风险:我们能低到什么程度?

The use of ultra low contrast volume during percutaneous coronary intervention and risk of acute kidney injury: How low can we go?

机构信息

Division of Cardiology, Department of Medicine, The UT Health San Antonio, San Antonio, Texas.

出版信息

Catheter Cardiovasc Interv. 2019 Feb 1;93(2):231-232. doi: 10.1002/ccd.28090.

DOI:10.1002/ccd.28090
PMID:30719853
Abstract

Gurm et al demonstrated that in PCI, the use of ultra low volume compared with higher contrast volumes (CVs), was associated with significant lower risk of developing acute kidney injury (AKI) and new need for dialysis. Thirteen percent of the study population had PCI using ultra low CV. Future studies are needed to explore further utilization of the suggested threshold when performing PCI in high risk patients.

摘要

古姆等人证明,在 PCI 中,与使用较高对比剂用量(CV)相比,使用超低对比剂用量与急性肾损伤(AKI)的发展风险显著降低和新的透析需求显著降低相关。研究人群中有 13%的患者接受了超低 CV 的 PCI。需要进一步研究,以探讨在高危患者中进行 PCI 时进一步利用建议阈值的情况。

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