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Prevention of Contrast Induced Nephropathy in Patients With Advanced Renal Dysfunction Undergoing Coronary Interventions

Not Applicable
Completed
Conditions
Ischemic Heart Disease
Kidney Disease, Chronic
Registration Number
NCT02468401
Lead Sponsor
Meir Medical Center
Brief Summary

There is a pressing need to find effective strategies for the prevention of contrast induced nephropathy in patients with advanced renal dysfunction. The current study was designed to assess the efficacy of a new protocol for preventing contrast induced nephropathy in patients with advanced renal dysfunction undergoing coronary interventions

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
30
Inclusion Criteria

Patients with estimated glomerular filtration rate<45ml/min undergoing coronary angiography due to one of the following indications in accordance with the 2014 guidelines:

  1. Elective coronary angiography due to symptoms suggestive for angina with a positive non-invasive ischemia assessment of ≥10% of left ventricle.
  2. Non ST-elevation acute coronary syndrome with a GRACE score>110
Exclusion Criteria
  • Patients on dialysis or those planned for dialysis in the next 3 months.
  • Patients with ST-elevation myocardial infarction
  • No symptoms or signs of heart failure
  • Treatment with IV diuretics during the 48 hours prior to enrolment
  • Patients with acute renal failure (Creatinine raise of at least 0.3mg/dl from )baseline
  • Patients post coronary artery bypass surgery

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Changes in glomerular filtration rate following coronary angiography or intervention24 and 48 hours post procedure

Significant changes are defined as a reduction ≥25% in glomerular filtration rate

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Meir Medical Center

🇮🇱

Kfar Saba, Israel

Meir Medical Center
🇮🇱Kfar Saba, Israel

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