Editorial
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. Sep 28, 2024; 16(9): 375-379
Published online Sep 28, 2024. doi: 10.4329/wjr.v16.i9.375
Innovative approaches beyond periprocedural hydration for preventing contrast-induced acute kidney injury
Chun-Han Cheng, Wen-Rui Hao, Tzu-Hurng Cheng
Chun-Han Cheng, Department of Medical Education, Linkou Chang Gung Memorial Hospital, Taoyuan 33305, Taiwan
Wen-Rui Hao, Division of Cardiology, Department of Internal Medicine, Shuang Ho Hospital, Ministry of Health and Welfare, Taipei Medical University, Taipei 23561, Taiwan
Wen-Rui Hao, Division of Cardiology, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11002, Taiwan
Tzu-Hurng Cheng, Department of Biochemistry, School of Medicine, College of Medicine, China Medical University, Taichung 404328, Taiwan
Co-corresponding authors: Wen-Rui Hao and Tzu-Hurng Cheng.
Author contributions: Cheng CH and Hao WR wrote the paper; Hao WR and Cheng TH revised the paper; All authors have read and approved the final manuscript.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Tzu-Hurng Cheng, PhD, Professor, Department of Biochemistry, School of Medicine, College of Medicine, China Medical University, No. 91 Xueshi Road, North District, Taichung 404328, Taiwan. thcheng@mail.cmu.edu.tw
Received: June 27, 2024
Revised: September 22, 2024
Accepted: September 24, 2024
Published online: September 28, 2024
Processing time: 92 Days and 5.8 Hours
Abstract

Contrast-induced acute kidney injury (CI-AKI) is a major concern in clinical practice, particularly among high-risk patients with preexisting renal and cardiovascular conditions. Although periprocedural hydration has long been the primary approach for CI-AKI prevention, recent advancements have led to the development of novel approaches such as RenalGuard and contrast removal systems. This editorial explores these emerging approaches and highlights their potential for enhancing CI-AKI prevention. By incorporating the latest evidence into clinical practice, health-care professionals can more effectively maintain renal function and improve outcomes for patients undergoing contrast-enhanced procedures.

Keywords: Contrast-induced acute kidney injury; Contrast-induced acute kidney injury prevention; Periprocedural hydration; RenalGuard; Contrast removal systems

Core Tip: Preventing contrast-induced acute kidney injury (CI-AKI) is crucial for patients undergoing contrast-enhanced procedures, particularly those with preexisting renal or cardiovascular conditions. Although periprocedural hydration remains a fundamental preventive measure, emerging approaches such as RenalGuard and contrast removal systems are promising alternatives. Recent research has demonstrated that these innovative approaches have the potential to substantially improve CI-AKI prevention and patient outcomes. Staying updated on these advancements and incorporating them into clinical practice are essential for optimizing renal protection.