About this trial
The aim of this study is to evaluate the safety of ultra-low contrast coronary angiography in patients with pre-existing acute kidney injury.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Hospitalized patients who have AKI at admission or who develop AKI during admission and require invasive coronary angiography will be included in the trial.
Disqualifiers
Stabilized renal function manifested by unchanged or downtrending serum creatinine during a 24-hour period prior to enrollment.
Contraindication for invasive coronary angiography other than AKI.
Percutaneous coronary intervention is indicated and cannot be postponed by 7 days.
Need for renal replacement therapy before coronary angiography or planned renal replacement therapy after coronary angiography (if premeditated before coronary angiography).
Trial design
Parallel
Treatments tested in this trial
Angiography
Procedure/SurgeryCoronary angiography with less than 20cc of contrast materials
Treatment groups
Trial outcomes
Primary outcomes
Change in incidence of Contrast Induced Nephropathy (CIN)
CIN is defined as an increase in serum creatinine by 0.5mg/dl or a relative rise of 25% from the baseline value. The investigators will measure the incidence of CIN by the increase in serum creatinine to see if the incidence will be the same in both arms whether the patient received the immediate angiography or if it was delayed until kidney function has been stabilized.
Secondary outcomes
Incidence of earlier occurrence of CIN
The investigators will measure serum creatinine at 24, 48 hours and at 1 week to measure if the occurrence of CIN will happen earlier in 1 arm than the other
Incidence of renal replacement therapy at up to 7 days post-angiography
The investigators will measure the incidence of renal replacement therapy by monitoring if the patient will undergo dialysis within 7 days post angiography
Sponsors and contacts
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