AKI After PCI: Optimizing Contrast Selection for Real‑World Prevention-Discussion

Video Transcription

Video Summary

The panel discussed preventing contrast-induced AKI in cath labs. Key practices included using eGFR/creatinine clearance rather than creatinine alone, documenting NCDR risk scores, and adjusting hydration based on risk and procedure complexity. They debated whether NPO status may worsen dehydration and AKI risk, and noted SGLT2 inhibitors are often held mainly to prevent euglycemic DKA, not AKI. Most use minimal contrast, with some preferring isosmolar contrast in high-risk or peripheral cases. The speakers emphasized standardized lab protocols, careful pre-procedure planning, and tailoring contrast and hydration to each patient to reduce kidney injury.

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Keywords

contrast-induced AKI

cath lab protocols

eGFR creatinine clearance

hydration risk assessment

contrast minimization