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Remote Ischemic Conditioning For Prevention Of Contrast Induced Kidney Injury

Not Applicable
Conditions
Health Condition 1: I249- Acute ischemic heart disease, unspecified
Registration Number
CTRI/2020/07/026548
Lead Sponsor
Indian council of medical research
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1.Age � 18 years

2.Awaiting percutaneous coronary intervention (PCI)

3.Serum creatinine of >1.4 mg/dl or an estimated glomerular filtration rate (eGFR) of <60 ml/min/1.73m2 or Pre-PCI Mehran score � 11

Exclusion Criteria

1.Patients on hemodialysis/peritoneal dialysis

2.Recent intravascular contrast exposure (� 2 weeks prior to present admission)

3.Inability to perform remote ischaemic conditioning (RIC) (e.g., bilateral upper limb trauma/amputation, severe ischaemia etc)

4.Pregnancy

5.Hypotension (MAP < 60mmHg)

6.Sepsis

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Primary end-point: <br/ ><br>Incidence of CINTimepoint: At 48 hours
Secondary Outcome Measures
NameTimeMethod
1. Incidence of subclinical AKI <br/ ><br>2. Change in serum creatinine from baseline to 48 hours post-PCI (��creat) <br/ ><br>3. Change in NGAL levels from baseline to 2 hours post-PCI (��NGAL2) and to 6 hours post-PCI(��NGAL6) <br/ ><br>4. Need for renal replacement therapy <br/ ><br>5. In-hospital-, 30- and 90-day all-cause mortality and major adverse cardiovascular events (MACE) <br/ ><br>Timepoint: 1. Change in NGAL at 2- and 6-hours post-PCI <br/ ><br>2. Incidence of subclinical AKI and change in creatinine at 24- and 48- hours post_PCI <br/ ><br>3. In-hospital, 30- and 90- day all cause mortality and MACE <br/ ><br>
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