Innovative approaches beyond periprocedural hydration for preventing contrast-induced acute kidney injury

doi:10.4329/wjr.v16.i9.375

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Sep 28, 2024 (publication date) through Sep 27, 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. 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 1.5 Hours

Core Tip

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.