Evaluation of contrast nephropathy in percutaneous treatment of chronic total occlusions

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dc.authoridTanrıverdi, Okan/0000-0003-3531-8409
dc.authoridAskin, Lutfu/0000-0001-7768-2562
dc.authoridTaşolar, Hakan/0000-0002-1249-7240
dc.authoridTURKMEN, SERDAR/0000-0002-4120-4275
dc.authorwosidTürkmen, Serdar/ABF-8271-2021
dc.authorwosidTanrıverdi, Okan/HPF-9139-2023
dc.authorwosidAskin, Lutfu/H-1047-2018
dc.authorwosidTaşolar, Hakan/ABG-4466-2020
dc.contributor.authorAkturk, Erdal
dc.contributor.authorAskin, Lutfu
dc.contributor.authorTasolar, Hakan
dc.contributor.authorKurtoglu, Ertugrul
dc.contributor.authorTurkmen, Serdar
dc.contributor.authorTanriverdi, Okan
dc.contributor.authorUzel, Kader Eliz
dc.date.accessioned2024-08-04T20:46:45Z
dc.date.available2024-08-04T20:46:45Z
dc.date.issued2019
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: Contrast-induced nephropathy (CIN) is a leading cause of morbidity and mortality in patients undergoing percutaneous coronary intervention (PCI). Chronic total occlusions (CTO) are frequently observed among patients undergoing coronary angiography. Methods: A total of 128 CTO patients were included. Mehran score, lesion characteristics, interventional procedure, serological specimens and devices were recorded. The first group was administered with 1 ml . kg(-1) . h(-1) saline (0.9% NaCl) infusion that started 12 h before the procedure and continued 12 h post procedure as recommended by the guidelines. The second group was administered with saline infusion of 12 ml . kg(-1) . h(-1) only during CTO-PCI procedure, which is called as intensive infusion. Results: CIN development was similar in two groups (four patients in standard hydration group and five patients in intensive hydration group). The amount of saline was significantly higher in the standard group (1,767 +/- 192.2 vs. 1,043.6 +/- 375; p < 0.001). Patients with higher creatinine levels prior to PCI had a higher rate of CIN development after procedure. Interestingly, age, left ventricular ejection fraction, and diabetes mellitus independently predicted CIN. Conclusion: Intensive hydration administration appears to be an effective and cost-effective method in CTO-PCI patients, especially in patients without left ventricular function failure.en_US
dc.identifier.doi10.1556/1646.11.2019.15
dc.identifier.endpage100en_US
dc.identifier.issn2061-1617
dc.identifier.issn2061-5094
dc.identifier.issue2en_US
dc.identifier.pmid32148912en_US
dc.identifier.scopus2-s2.0-85071509075en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage95en_US
dc.identifier.urihttps://doi.org/10.1556/1646.11.2019.15
dc.identifier.urihttps://hdl.handle.net/11616/98934
dc.identifier.volume11en_US
dc.identifier.wosWOS:000473624700004en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAkademiai Kiado Zrten_US
dc.relation.ispartofInterventional Medicine and Applied Scienceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectchronic total occlusionsen_US
dc.subjectcontrast-induced nephropathyen_US
dc.subjecthydrationen_US
dc.subjectpercutaneous coronary interventionen_US
dc.subjectsaline infusionen_US
dc.titleEvaluation of contrast nephropathy in percutaneous treatment of chronic total occlusionsen_US
dc.typeArticleen_US

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