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Contrast media-induced nephropathy following diagnostic and therapeutic cardiac catheterization.
Contrast-induced acute kidney injury represents a serious complication of procedures requiring administration of iodinated contrast media and is associated with the need for dialysis, prolonged hospitalization, increased costs, and mortality.
Contrast-induced nephropathy is defined as an increase of 25% in serum creatinine before the procedure.
Iodixanol, a nonionic, dimeric, iso-osmolar contrast medium may be less nephrotoxic than low-osmolar contrast media in high-risk patients.
The purpose of this study is to compare iodixanol versus ioxaglate in high risk patients between 48 and 96 hours after procedures that use contrast.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Iodixanol | Iodixanol contrast media |
| |
| Ioxaglate | Ioxaglate contrast media |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| contrast media | Other | Compare 2 contrast media |
|
| Measure | Description | Time Frame |
|---|---|---|
| Contrast-induced nephropathy incidence | Between 48 and 96 hours after diagnostic and therapeutic cardiac catheterization |
| Measure | Description | Time Frame |
|---|---|---|
| Composite of death or need for dialysis in 48 to 96 hours and at 30 days after diagnostic and therapeutic cardiac catheterization | Need for dialysis when patient develop end stage kidney failure -- by the time patient lose about 85 to 90 percent of your kidney function and have a glomerular filtration rate of <15. | 30 days |
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Inclusion Criteria:
At least one of the following criteria
Exclusion Criteria:
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Patients undergoing coronary angiography or percutaneous interventions will be eligible for the trial if they have at least 1 risk factor for contrast-induced acute kidney injury
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37220640 | Derived | Freitas RAP, Tanajura LF, Mehran R, Chamie D, Chaves A, Centemero M, Braga S, Costa R, Cao D, Sousa A, Feres F, Costa JR Jr. Ioxaglate Versus IoDixanol for the Prevention of Contrast-Induced Nephropathy: The IDPC Trial. J Invasive Cardiol. 2023 Jun;35(6):E281-E290. doi: 10.25270/jic/21.00249. Epub 2023 May 16. |
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| ID | Term |
|---|---|
| D058186 | Acute Kidney Injury |
| D007674 | Kidney Diseases |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| ID | Term |
|---|---|
| D003287 | Contrast Media |
| ID | Term |
|---|---|
| D064907 | Diagnostic Uses of Chemicals |
| D020228 | Pharmacologic Actions |
| D020164 | Chemical Actions and Uses |
| D020313 | Specialty Uses of Chemicals |
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| The individual components of the combined outcome (total mortality or dialysis indication) |
| 30 days |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |