• Prevent Contrast Induced Nephropathy (CIN): Protecting the Kidneys Starts Before the Procedure!

    January 01, 2014

    By: Henry Jennings III, MD, FSCAI and Michael Kutcher, MD, FSCAI

    Patients who develop CIN are at an increased risk of death or myocardial infarction.

    Risk score (pre-procedural) calculation for CIN (consider online CIN-risk calculators)

    Evaluate post-procedural (48 hour) renal function in high-risk patients

    Nephrotoxic meds (Review/Adjust) and account for recent contrast exposure

    Adequate hydration (Start 3-4 hours before and continue 6-8 hours post-procedure)

    Limit contrast use (aim for maximum contrast volume of 3.7 x eGFR)

    Take RENAL precautions for patients at risk for CIN. Make Pre- and Post-procedure renal evaluation and hydration mandatory.

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