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A randomised trial comparing two strategies for preventing kidney failure after angioplasty

Completed
Conditions
Kidney function impairment/coronary artery disease/contrast-induced nephropathy
Urological and Genital Diseases
Drug- and heavy-metal-induced tubulo-interstitial and tubular conditions
Registration Number
ISRCTN15027862
Lead Sponsor
iverpool Heart and Chest Hospital NHS Trust (UK)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
200
Inclusion Criteria

1. Male and female patients aged 18 years or over
2. Estimated glomerular filtration rate (eGFR) less than 60 ml/m (as calculated by modified Modification of Diet in Renal Disease [MDRD] equation with local laboratory correction factor)

Exclusion Criteria

1. Patients who had coronary angiography or other procedure with contrast exposure (computed tomography pulmonary angiography [CTPA] etc.) within 2 weeks of percutaneous coronary intervention (PCI)
2. Unable to consent
3. Patient undergoing cardiac surgery
4. Cardiogenic shock
5. Unlikely to attend for follow-up blood tests
6. Presence of non-cardiac illness that might affect life expectancy
7. Any previous allergic reaction to contrast media or N-acetylcysteine (NAC)

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
eGFR at 6 months
Secondary Outcome Measures
NameTimeMethod
1. Contrast-induced nephropathy. Total duration of follow-up: 6 months.<br>2. eGFR at 14 days<br>3. Major Adverse Cardiovascular Events (MACE) ? death, myocardial infarction (MI), stroke, and repeat revascularisation. Total duration of follow-up: 6 months.<br>4. Renal replacement therapy. Total duration of follow-up: 6 months.
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