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Oxygen Preconditioning Prevents Contrast-Induced Nephropathy

Not Applicable
Conditions
Ischemic Heart Disease Congestive Heart Failure Chronic Kidney Disease Peripheral arterial Disease
Registration Number
JPRN-UMIN000007125
Lead Sponsor
Yokohama Medical Center (Department of Clinical Research)
Brief Summary

The patient in the oxygen preconditioning group had significantly higher PaO2 (134.3 +- 27.7 vs. 90.1 +- 11.7 mmHg, P < 0.01) and significantly lesser incidence of CIN (0.6% vs. 6.1%, odds ratio 0.10, P = 0.01, 95% CI 0.01-0.75) comparing with those in the control group.

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete: follow-up complete
Sex
All
Target Recruitment
400
Inclusion Criteria

Not provided

Exclusion Criteria

peritoneal dialysis, hemodialysis treatment, cardiogenic shock, congestive heart failure, pregnancy, a history of severe allergies to contrast media, recent major bleeding, having a metformin within 48 hours of the study entry, chronic obstructive pulmonary disease, patient with the oxygen saturation lesser than 90 percent, acute coronary syndrome, severe infection, severe malnutrition, post-operative states, pituitary or adrenal dysfunction, paraquat intoxication

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Contrast-Induced Nephropathy : defined as an increase in the serum creatinine concentration of 25 percent or 0.5 mg/dl from the baseline at maximum value obtained within 48 hours after the procedure
Secondary Outcome Measures
NameTimeMethod
sex, age (more than 70-year-old), hypertension, diabetes mellitus, dyslipidemia, a history of myocardial infarction, BNP(more than 100pg/ml), anemia, use of ACE inhibitors/ARBs, use of diuretics, use of statins, use of contast-medium (more than 150ml), eGFR (less than 60ml/min/1.73m2), PaO2 (more than 100 mmHg) As sub-analysis, among the patients with eGFR under 60ml/min/1.73m2 for CIN high risk group.
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