b) Inicos dimricos: poseen baja osmolaridad Ejemplo: ioxaglato de metilglucamina. Ejemplo: iodotalamato de meglumina o amidotrizoato de meglumina. In patients undergoing percutaneous cardiovascular procedures, RenalGuard was associated with a reduced risk of CA-AKI and acute pulmonary edema compared with standard periprocedural hydration strategies.Īcute kidney injury Angiografía coronaria Angioplastia Contrast media Coronary angiography Lesión renal aguda Medios de contraste yodado Nefropatía inducida por contraste Percutaneous coronary intervention.Ĭopyright © 2023. De acuerdo con su estructura, existen 4 tipos diferentes de contraste yodado (1,3,6): a) Inicos monomricos: poseen alta osmolaridad. Mediante un post procesamiento se obtienen las imágenes recombinadas usando conjuntamente las dos energías (baja y alta). These results were consistent in multiple sensitivity analyses. La imagen de alta energía contiene entonces la información acerca de la captación del contraste yodado. The Bayesian analysis also showed that RenalGuard had a high probability of ranking first for all the secondary outcomes. No significant differences were observed for the other secondary endpoints. RenalGuard was associated with a significant relative reduction in CA-AKI (median RR, 0.54 95%CrI, 0.31-0.86) and acute pulmonary edema (median RR, 0.35 95%CrI, 0.12-0.87). A Bayesian random-effect risk ratio (RR) with corresponding 95% credibility interval (95%CrI) was calculated for each outcome. Secondary outcomes were all-cause death, cardiogenic shock, acute pulmonary edema, and renal failure requiring renal replacement therapy. We searched Medline, Cochrane Library and Web of Science for randomized trials of RenalGuard vs standard periprocedural hydration strategies.
We used a Bayesian framework to perform a meta-analysis of RenalGuard as a CA-AKI preventive strategy. The evidence on RenalGuard in patients undergoing percutaneous cardiovascular procedures is sparse. RenalGuard, which provides real-time matching of intravenous hydration with furosemide-induced diuresis, is an alternative to standard periprocedural hydration strategies. El estudio se realiz en un TCMD de 16 canales, con 60 ml de contraste yodado no inico hipoosmolar a una velocidad de inyeccin de 4 ml/s seguido de un. Contrast-associated acute kidney injury (CA-AKI) is a potential complication of procedures requiring administration of iodinated contrast medium.
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