[Management of renal complications during primary angioplasty].
Primary angioplasty represents the best strategy for myocardial reperfusion in ST-elevation acute myocardial infarction. However, it is associated with a high risk of developing contrast-induced nephropathy, a renal complication coupled with markedly increased morbidity and mortality rates. This paper summarizes, on the current evidence available, the clinical and prognostic relevance of renal insufficiency and contrast-induced nephropathy in acute myocardial infarction, and emphasizes new possible preventive strategies for kidney protection in this clinical setting.
Centro Cardiologico Monzino, I.R.C.C.S., Istituto di Cardiologia, Università, Milano. giancarlo.marenzi@ccfm.it
Giancarlo
G
Marenzi
Ivana
I
Marana
Antonio
A
Bartorelli
D058186:Acute Kidney Injury / Q000139:chemically induced* / Q000517:prevention & control*; D015906:Angioplasty, Balloon, Coronary / Q000379:methods; D003287:Contrast Media / Q000009:adverse effects*; D004562:Electrocardiography; D006801:Humans; D009203:Myocardial Infarction / Q000628:therapy*; D011379:Prognosis
D003287:Contrast Media