YẾU TỐ NGUY CƠ CỦA TỔN THƯƠNG THẬN CẤP LIÊN QUAN ĐẾN THUỐC CẢN QUANG SAU CAN THIỆP MẠCH VÀNH QUA DA

Abstract

Introduction: Contrast-associated acute kidney injury (CA-AKI) after percutaneous coronary intervention (PCI) can increase the risk of long-term impairment of kidney function, the need for renal replacement therapy and mortality. By identifying risk factors for CA-AKI, we can develop effective preventive strategies to reduce the incidence of CA-AKI after PCI. Objective: To identify risk factors for contrast-associated acute kidney injury after percutaneous coronary intervention. Subjects and Methods: A retrospective and prospective cohort study included the clinical of 370 patients undergoing PCI at the Interventional Cardiology Department, Nhan dan Gia Dinh Hospital from September 2023 to June 2024. Univariate and multivariate logistic regression analyses were performed to identify risk factors for CA-AKI. Results: CA-AKI after PCI occurred in 27 out of 370 patients, with an incidence of 7.30%. Only diabetes, STEMI, congestive heart failure on presentation, and procedural bleeding were risk factors for CA-AKI after multivariate analysis. The contrast volume used was relatively low compared to previous studies, and thus, we did not find an association between contrast volume and CA-AKI. Conclusion: Diabetes, STEMI, congestive heart failure on presentation, and procedural bleeding are risk factors for CA-AKI. Patients with these risk factors should be targeted for preventive strategies and close monitoring.