A randomised trial comparing two strategies for preventing kidney failure after angioplasty
- Conditions
- Kidney function impairment/coronary artery disease/contrast-induced nephropathyUrological and Genital DiseasesDrug- 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
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)
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
Name Time Method eGFR at 6 months
- Secondary Outcome Measures
Name Time Method 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.