Naser Hadavand¹, Mahshid Sadat Moradi Hossein Zadeh^1*, Fariborz Farsad¹, Reza Golpira¹, Hooman Bakhshandeh¹, Maedeh Sharifian¹, Maryam Jafari², Ali Mohammad Farahmand³ and Kiara Rezaei-Kalantari^1,4*

¹Rajaei Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran

²Department of Radiology, Ali Asghar Children’s Hospital, Iran University of Medical Sciences, Tehran, Iran

³Tehran University of Medical Sciences, Tehran, Iran

⁴Cardio-Oncology Research Center, Rajaei Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran

*Corresponding Author: Kiara Rezaei-Kalantari, Rajaei Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran and Cardio-Oncology Research Center, Rajaei Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

Received: June 21, 2022; Published: July 14, 2022

Abstract

Purpose: The purpose of this study was to compare the incidence of contrast-induced nephropathy (CIN) with the three commonly used contrast media in coronary angiography.

Methods: In this prospective observational study, 574 consecutive patients who were referred for coronary angiography to our cardiovascular center, were included. Patients were categorized into three groups based on the received contrast media, including iopromide (Ultravist^®), iodixanol (Visipaque^®), and iohexol (Omnipaque^®). Patients’ demographic characteristics, past medical history, and risk factors were recorded. Renal function was evaluated in all the patients within 48 hours before and 72 hours after the procedure. CIN was defined as an increase in the serum creatinine level by 0.5mg/dl or by 0.25% from the baseline.

Results: Our results demonstrated that CIN occurred similarly in the 3 groups of contrast media (p-value = 0.935). Moreover, multivariate analysis revealed significant adjusted associations between CIN and smoking (OR: 2.832, 95% CI: 1.098-7.303, P: 0.031), pre-existing renal disease (OR: 8.252, 95% CI: 3.145-21.654, P < 0.001) and volume of contrast media (OR:1.004, 95% CI:1.001-1.008, P:0.024).

Conclusion: The three commonly used contrast media, iopromide, iohexol, and iodixanol have a similar risk of CIN in patients undergoing coronary angiography with or without PCI.

Keywords: Contrast Media; Coronary Angiography; Contrast-Induced Nephropathy; Iopromide; Iodixanol; Iohexol

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Citation

Citation: Kiara Rezaei-Kalantari., et al. “The Comparison of the Incidence Rate of Contrast-Induced Nephropathy with Iodixanol, Iohexol, and Iopromide Following Coronary Angiography". Acta Scientific Neurology 5.8 (2022): 25-33.

Copyright

Copyright: © 2022 Kiara Rezaei-Kalantari., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.