CONVIN: Contrast Medium Volume and Contrast-induced Nephropathy After Percutaneous Coronary Intervention
Study Details
Study Description
Brief Summary
To investigate the predictive value of the contrast media volume to creatinine clearance (V/CrCl) ratio for the risk of contrast-induced nephropathy (CIN) (i.e., within 48-72 h) and to determine a relatively safe V/CrCl cut-off value to avoid CIN in patients following PCI
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
contrast media volume to creatinine clearance (V/CrCl) ratios were obtained from consecutive consenting patients after unselective PCI. Receiver-operator characteristic (ROC) curves were used to identify the optimal sensitivity for the observed range of V/CrCl. The predictive value of V/CrCl for the risk of CIN was assessed using multivariate logistic regression.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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percutaneous coronary intervention The investigators reviewed all consecutive patients who were undergoing percutaneous coronary intervention |
Outcome Measures
Primary Outcome Measures
- Contrast-Induced Nephropathy [48-72 h]
Contrast-Induced Nephropathy was defined as an increase in serum creatinine of more than 0.5 mg/dl from the baseline within 48-72 h of contrast exposure
Secondary Outcome Measures
- Major adverse clinical events [1 year]
Major adverse clinical events: death, requiring renal replacement therapy, 2nd myocardial infarction,target revascularization,acute heart failure, mechanical ventilation,2nd angina,tachyarrhythmia,hypotension,intra-aortic balloon pump and stroke
Eligibility Criteria
Criteria
Inclusion Criteria:
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patients who agreed to stay in the hospital for 2-3 days after percutaneous coronary intervention
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provided written informed consent
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Creatinine Clearance:15-60ml/min
Exclusion Criteria:
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pregnancy
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lactation
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intravascular administration of an contrast medium within the previous seven days
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treatment with metformin
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aminoglycosides
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N-acetylcysteine (NAC)
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nonsteroidal anti-inflammatory drugs within the previous 48 h
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intake of nephrotoxic drugs within the previous seven days
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history of serious reactions to contrast mediums
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severe concomitant disease
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renal transplantation , or end-stage renal disease necessitating dialysis patients who died during percutaneous coronary intervention
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Ning Tan | Guangzhou | Guangdong | China | 510100 |
Sponsors and Collaborators
- Guangdong Provincial People's Hospital
- Hainan People's Hospital
- Guangdong Medical College
Investigators
- Study Director: Yong Liu, MD, Guangdong Provincial People's Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2009X41