Navigating nephrotoxic waters: A comprehensive overview of contrast-induced acute kidney injury prevention

doi:10.4329/wjr.v16.i6.168

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Jun 28, 2024 (publication date) through Jun 30, 2024

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World Journal of Radiology

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1949-8470

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Radiol. Jun 28, 2024; 16(6): 168-183
Published online Jun 28, 2024. doi: 10.4329/wjr.v16.i6.168

Navigating nephrotoxic waters: A comprehensive overview of contrast-induced acute kidney injury prevention

Panagiotis Theofilis, Rigas Kalaitzidis

Panagiotis Theofilis, Rigas Kalaitzidis, Center for Nephrology "G Papadakis", General Hospital of Nikaia-Piraeus "Agios Panteleimon", Nikaia-Piraeus 18454, Greece

Author contributions: Theofilis P performed the literature review and drafted the original manuscript; Kalaitzidis R supervised the study and performed revisions on the original draft.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

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: Panagiotis Theofilis, MD, PhD, Doctor, Researcher, Center for Nephrology "G Papadakis", General Hospital of Nikaia-Piraeus "Agios Panteleimon", Mantouvalou 3, Nikaia-Piraeus 18454, Greece. panos.theofilis@hotmail.com

Received: April 27, 2024
Revised: May 19, 2024
Accepted: June 17, 2024
Published online: June 28, 2024
Processing time: 59 Days and 20 Hours

Core Tip

Core Tip: Although periprocedural hydration is a fundamental preventive measure for contrast-induced acute kidney injury (CI-AKI), recent research suggests exploring emerging strategies such as RenalGuard and contrast removal systems. These innovative approaches show promise, particularly in high-risk individuals with critical illness or pre-existing renal and cardiovascular conditions. By staying updated on the latest evidence and incorporating these advancements into clinical practice, healthcare professionals can enhance CI-AKI prevention efforts and improve patient outcomes.