28.3 How to prevent contrast-induced acute kidney injury - Manual of PCI

The following steps can help reduce the risk of contrast-induced acute kidney injury:
Before the procedure:
Hydration
High dose statin
Discontinue nephrotoxic medications
During the procedure:
Decrease contrast volume
Iso-osmolar contrast
Prevent hypotension
After the procedure:
Hydration

[@matheuscsmed]

Thank you, Matheus Silva

[@AhmedElborae]

Thanks Dr Manos.
Another relatively underdiagnosed complication of contrast is what is called " Contrast induced mumps"; manifested with parotid and or submandibular gland swelling and tenderness, usually 12 hours after procedure. Management could be just conservative, while antihistamines or dexamethasone could be given for severe cases.
Thanks again

[@manosbrilakis]

Excellent point - thank you so much! Will include this in the next edition of the book.

[@shangz0216]

Thanks for your educative presentation.

[@monicapena4587]

you have the BEST videos!! Thank you!!

[@ahmedalarhabi1922]

Thank you

[@aminuddinsidratullah1426]

please explain the type of catheter and its use

[@elmoicevengat]

Can we use laser Catheter assisted angioplasty to restore blood flow in a completely occluded Renal Artery? Patient has SLE/Antiphospholipid syndrome

[@mohamedkishkt3667]

first of all ... many thanks our great professor.
secondly can you tell us about aspiration from coronary sinus ...

[@manosbrilakis]

I do not have any experience in aspiration from coronary sinus during contrast injection, but here is a recent study showing that it can remove about one third of the administered contrast: www.ahajournals.org/doi/10.1161/CIRCINTERVENTIONS.116.004348

[@donnakelvins6836]

Sunday and Monday was the dates,

[@donnakelvins6836]

I was poisened on Friday and Saturday the 6th and 7th of March 2022. I was never sick, I was healthy on Thursday 5th of March 2022. PLEASE HELP PlEASE . Minnesota has overdosed me !

[@geletmote]

I am sorry to hear that, how are you feeling now, has it gotten better or worse?