An Overview of Contrast-Associated Acute Kidney Injury Following Lower-Extremity Percutaneous Peripheral Interventions

J Invasive Cardiol. 2020 Jul;32(7):276-282. doi: 10.25270/jic/20.00099.

Abstract

Contrast-associated acute kidney injury, resulting from the use of iodinated contrast media, is a well-known adverse event following endovascular procedures and is associated with poor prognosis when it happens. There is an abundance of literature studying acute kidney injury following percutaneous coronary interventions, with very few studies done in the setting of percutaneous peripheral intervention. Although both percutaneous coronary intervention and percutaneous peripheral intervention utilize iodinated contrast media, several differences exist that can affect the incidence and management of contrast-associated acute kidney injury. This article aims to review what we currently know about contrast-associated acute kidney injury and available prevention strategies, specifically following percutaneous peripheral interventions.

Keywords: contrast-associated acute kidney injury; contrast-induced nephropathy; endovascular procedures; iodinated contrast media; percutaneous vascular intervention.

Publication types

  • Review

MeSH terms

  • Acute Kidney Injury* / chemically induced
  • Acute Kidney Injury* / diagnosis
  • Acute Kidney Injury* / epidemiology
  • Contrast Media / adverse effects
  • Humans
  • Iodine Compounds
  • Percutaneous Coronary Intervention / adverse effects
  • Risk Factors

Substances

  • Contrast Media
  • Iodine Compounds