Preventing Contrast Induced Acute Kidney Injury

Approximately 25 percent of patients presenting for coronary angiography procedures are at high risk for an issue called Contrast Induced Acute Kidney Injury (AKI)*. For patients with kidney disease and other risk factors, the contrast dye used for visualization during the coronary procedures in the Cath Lab can be difficult for the kidneys and can cause damage, complications and increased length of stay in the hospital.

At Lakewood Ranch Medical Center’s Cardiac Cath Lab, we have implemented a Kidney Care Program where patients with compromised kidney function are identified prior to their cardiac procedure and extra steps can be taken to protect their kidneys during the procedure, including:

  • Screening patients for Chronic Kidney Disease (CKD) and risk factors prior to their procedure
  • Hydrating the patient pre and post procedure
  • Using a device to help divert the contrast, minimizing the amount of contrast delivered to the patient by up to 40 percent compared to standard delivery

If you need a referral to a physician at Lakewood Ranch Medical Center, call our free physician referral service at 941-708-8100 or search for a doctor online.

The Facts About Chronic Kidney Disease (CKD)*

  • 37 million American adults have CKD and millions of others are at increased risk
  • Early detection can help prevent the progression of kidney disease to kidney failure
  • Heart disease is the major cause of death for all people with CKD
  • Glomerular filtration rate (GFR) is the best estimate of kidney function
  • Hypertension (high blood pressure) causes CKD and CKD causes hypertension
  • Persistent proteinuria (protein in the urine) means CKD is present
  • High risk groups include those with diabetes, hypertension and family history of kidney failure
  • African Americans, Hispanics, Pacific Islanders, American Indians and seniors are at increased risk
  • Two simple tests can detect CKD: blood pressure, urine albumin and serum creatinine

What Are the Symptoms of CKD?

Most people may not have any severe symptoms until their kidney disease is advanced. However, you may notice that you have:

  • Less energy and feel more tired
  • Trouble concentrating
  • A poor appetite
  • Trouble sleeping
  • Muscle cramping at night
  • Swollen feet and ankles
  • Puffiness around your eyes, especially in the morning
  • Dry, itchy skin
  • The need to urinate more often, especially at night

* National Kidney Foundation.