Review Article

Nonpharmacological Strategies to Prevent Contrast-Induced Acute Kidney Injury

Table 1

Risk factors for contrast-induced acute kidney injury.

Patient-relatedProcedure-related

(i) eGFR less than 60 mL/min/1.73 m2 before intra-arterial administration
(ii) eGFR less than 45 mL/min/1.73 m2 before intravenous administration
(iii) In particular, in combination with
  diabetic nephropathy
  dehydration
  congestive heart failure (NYHA grade 3-4) and low LVEF
  recent myocardial infarction (<24 hours)
  intra-aortic balloon pump
  periprocedural hypotension
  low hematocrit level
  age over 70 years
  concurrent administration of nephrotoxic drugs
(iv) Known or suspected acute kidney injury
(i) Intra-arterial administration of contrast media
(ii) High osmolality agents
(iii) Large doses of contrast media
(iv) Multiple contrast media administrations within a few days