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Bioimpedance-Guided Hydration for the Prevention of Contrast-Induced Kidney Injury

Intravascular volume expansion plays a major role in the prevention of contrast-induced acute kidney injury (CI-AKI). Recommended standard amounts of fluid infusion before procedures do not produce homogeneous responses in subjects with different initial hydration status. The goal of this study was... Full description

Journal Title: Journal of the American College of Cardiology 26 June 2018, Vol.71(25), pp.2880-2889
Main Author: Maioli, Mauro
Other Authors: Toso, Anna , Leoncini, Mario , Musilli, Nicola , Grippo, Gabriele , Ronco, Claudio , Mccullough, Peter A , Bellandi, Francesco
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 0735-1097 ; E-ISSN: 1558-3597 ; DOI: 10.1016/j.jacc.2018.04.022
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recordid: elsevier_sdoi_10_1016_j_jacc_2018_04_022
title: Bioimpedance-Guided Hydration for the Prevention of Contrast-Induced Kidney Injury
format: Article
creator:
  • Maioli, Mauro
  • Toso, Anna
  • Leoncini, Mario
  • Musilli, Nicola
  • Grippo, Gabriele
  • Ronco, Claudio
  • Mccullough, Peter A
  • Bellandi, Francesco
subjects:
  • Angiography
  • Bioimpedance Vector Analysis
  • Contrast-Induced Acute Kidney Injury
  • Medicine
ispartof: Journal of the American College of Cardiology, 26 June 2018, Vol.71(25), pp.2880-2889
description: Intravascular volume expansion plays a major role in the prevention of contrast-induced acute kidney injury (CI-AKI). Recommended standard amounts of fluid infusion before procedures do not produce homogeneous responses in subjects with different initial hydration status. The goal of this study was to compare the effect of standard and double intravenous (IV) infusion volumes in patients with low body fluid level, assessed by using bioimpedance vector analysis (BIVA), on the incidence of CI-AKI after elective coronary angiographic procedures. A total of 303 patients with low BIVA level on admission were randomized to receive standard volume saline (1 ml/kg/h for 12 h before and after the procedure) or double volume saline (2 ml/kg/h). Patients (n = 715) with an optimal BIVA level received standard volume saline and were included in a prospective registry. The saline infusion was halved in all patients with an ejection fraction 
language: eng
source:
identifier: ISSN: 0735-1097 ; E-ISSN: 1558-3597 ; DOI: 10.1016/j.jacc.2018.04.022
fulltext: fulltext
issn:
  • 0735-1097
  • 07351097
  • 1558-3597
  • 15583597
url: Link


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titleBioimpedance-Guided Hydration for the Prevention of Contrast-Induced Kidney Injury
creatorMaioli, Mauro ; Toso, Anna ; Leoncini, Mario ; Musilli, Nicola ; Grippo, Gabriele ; Ronco, Claudio ; Mccullough, Peter A ; Bellandi, Francesco
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subjectAngiography ; Bioimpedance Vector Analysis ; Contrast-Induced Acute Kidney Injury ; Medicine
descriptionIntravascular volume expansion plays a major role in the prevention of contrast-induced acute kidney injury (CI-AKI). Recommended standard amounts of fluid infusion before procedures do not produce homogeneous responses in subjects with different initial hydration status. The goal of this study was to compare the effect of standard and double intravenous (IV) infusion volumes in patients with low body fluid level, assessed by using bioimpedance vector analysis (BIVA), on the incidence of CI-AKI after elective coronary angiographic procedures. A total of 303 patients with low BIVA level on admission were randomized to receive standard volume saline (1 ml/kg/h for 12 h before and after the procedure) or double volume saline (2 ml/kg/h). Patients (n = 715) with an optimal BIVA level received standard volume saline and were included in a prospective registry. The saline infusion was halved in all patients with an ejection fraction <40%. BIVA...
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