Estratégias de prevenção da nefropatia induzida por contraste em pacientes submetidos à intervenção coronária percutânea
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Oct 13, 2023
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Resumo
Objetivo: Descreve as estratégias de prevenção da nefropatia induzida por contraste (NIC) em pacientes submetidos à intervenção coronária percutânea. Métodos: Foi realizado uma revisão integrativa da literatura científica mediante o cruzamento dos descritores nas plataformas de dados Medline/Pubmed e Embase, sendo selecionados 19 artigos: Resultados: A maioria dos artigos trouxeram o uso da hidratação endovenosa como método de prevenção primordial à nefropatia induzida por contraste, a trimetazidina foi abordada em pesquisas como componente presente em conjunto com a hidratação endovenosa e aqueles pacientes que fizeram seu uso apresentaram menor incidência de NIC. Os artigos citaram a N-acetilcisteína como medicação associada a menor incidência de mortalidades por NIC. Algumas terapias como pré- condicionamento isquêmico remoto foram relatadas e mostraram redução na incidência de NIC. A importância das estratégias de prevenção de NIC foram abordadas por quase todos os estudos. Considerações finais: A nefropatia induzida por contraste se tornou cada vez mais discutida, a relevância de seu estudo encontra-se diante malefícios que a mesma pode causar aos pacientes, logo, pesquisas científicas sobre métodos preventivos de NIC se tornam efetivos para nefroproteção.
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Como Citar
Vitorino dos SantosI. M., GomesF. A., NunesM. P. V., RodriguesC. M., SouzaN. M. de, SouzaA. H. de, BarbosaI. A., CarvalhoT. E. S. de, SousaA. D. de, & CardosoP. T. (2023). Estratégias de prevenção da nefropatia induzida por contraste em pacientes submetidos à intervenção coronária percutânea. Revista Eletrônica Acervo Saúde, 23(10), e12921. https://doi.org/10.25248/reas.e12921.2023
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Referências
1. ARSLAN S, et al. Avoiding the emergence of contrast-induced acute kidney injury in acute coronary syndrome: routine hydration treatment. Coronary Artery Disease, 2020; 32(5): 397-402.
2. BEHZADI A, et al. Trimetazidine reduces contrast-induced nephropathy in patients with renal insufficiency undergoing coronary angiography and angioplasty: A systematic review and meta-analysis (PRISMA). Medicine, 2021; 100(10).
3. BRIGUORI C, et al. Renal insufficiency following contrast media administration trial III: Urine flow rate-guided versus left-ventricular end-diastolic pressure-guided hydration in high-risk patients for contrast-induced acute kidney injury. Rationale and design. Catheterization and Cardiovascular Interventions, 2020; 95(5): 895-903.
4. CARMONA-MONGE FJ, et al. Assessment of nursing workload in three groups of patients in a Spanish ICU using the Nursing Activities Score Scale. Revista da Escola de Enfermagem da USP, 2013; 47(2):335-340.
5. CHO A, et a. Beneficial effect of statin on preventing contrast-induced acute kidney injury in patients with renal insufficiency: a meta-analysis. Medicine,2020; 99(10).
6. COELHO FUA, et al. Nursing activities score and acute kidney injury. Revista brasileira de enfermagem, 2017; 70:475-48.
7. DE GARSPINI MLG, et al. Prevenção da Nefropatia induzida por contraste em pacientes submetidos a procedimentos em cardiologia intervencionista e hemodinâmica. Saúde em Revista, 2019; 77-86.
8. DE SOUSA LMM, et al. A metodologia de revisão integrativa da literatura em enfermagem, 2017;17.
9. FASOI G, et al. Assessment of Nursing Workload as a Mortality Predictor in Intensive Care Units (ICU) Using the Nursing Activities Score (NAS) Scale. International Journal of Environmental Research and Public Health, 2021; 18(1):79.
10. FUJIWARA W, et al. A simple proteinuria-based risk score predicts contrast-associated acute kidney injury after percutaneous coronary intervention. 2022.
11. GHAEMIAN A, et al. Remote ischemic preconditioning to reduce contrast-induced acute kidney injury in chronic kidney disease: a randomized controlled trial. BMC nephrology, 2018; 19(1): 1-7.
12. GOMES CS, et al. Fatores associados às doenças cardiovasculares na população adulta brasileira: Pesquisa Nacional de Saúde, 2019.
13. HAGIKURA A, et al. The role of saline and sodium bicarbonate preprocedural hydration to prevent mid-term renal insufficiency in patients with chronic kidney disease undergoing percutaneous coronary intervention. Internal Medicine, 2019; 1442-18.
14. HE H, et al. Prevalence and predictors of contrast-induced nephropathy (CIN) in patients with ST-segment elevation myocardial infarction (STEMI) undergoing percutaneous coronary intervention (PCI): A meta-analysis. Journal of Interventional Cardiology, 2019; 2019.
15. LIN K, et al. P5541 Is the classic definition of contrast-induced nephropathy suitable for elderly patients? is renal insufficiency a risk factor?. European Heart Journal, 2018;39:5541.
16. LIU Y, et al. Hydration for prevention of kidney injury after primary coronary intervention for acute myocardial infarction: a randomised clinical trial. Heart, 2022; 108(12):948-955.
17. LOFORTE DL, et al. Evaluación de pacientes con nefropatía inducida por contraste posterior a la angioplastia coronaria transluminal percutánea. Acta Médica, 2021; 22(1).
18. LUN Z, et al. The global incidence and mortality of contrast-associated acute kidney injury following coronary angiography: a meta-analysis of 1.2 million patients. Journal of Nephrology, 2021;34(5):1479-1489.
19. MA WQ, et al. Comparative efficacy of pharmacological interventions for contrast-induced nephropathy prevention after coronary angiography: a network meta-analysis from randomized trials. International urology and nephrology, 2018; 50(6):1085-1095.
20. MACCARIELLO E. Constrast induced nephropathy. J Bras Nefrol, 2016; 38:388-389.
21. MARCELINO J, et al. Reações adversas a meios de contraste iodados. Rev Port Imunoalergol, 2019; 27(1): 9-20.
22. MOURA ELB, et al. Lesão renal aguda induzida por contraste: importância dos critérios diagnósticos para estabelecer a prevalência e o prognóstico na unidade de terapia intensiva. Revista Brasileira de Terapia Intensiva, 2017; 29: 303-309.
23. MICHEL P, et al. Meta‐analysis of intravascular volume expansion strategies to prevent contrast‐associated acute kidney injury following invasive angiography. Catheterization and Cardiovascular Interventions,2021;98(6):1120-1132.
24. NABI Z, et al. Contrast Induced Nephropathy In High Risk Patients-Myth Or Reality. Journal of Ayub Medical College, Abbottabad: JAMC, 2021; 33(4):568-571.
25. NOVARETTI MCZ, et al. Sobrecarga de trabalho da Enfermagem e incidentes e eventos adversos em pacientes internados em UTI. Revista Brasileira de Enfermagem,2014;67:692-699.
26. SAAD JA, et al. Diretriz para realização de exames diagnósticos e terapêuticos em hemodinâmica. Arquivos Brasileiros de Cardiologia, 2004; 82:1-6.
27. SHIN H, et al. Current comments on contrast media administration in patients with renal insufficiency. Clinical Imaging, 2021;69:37-44.
28. SILVA TL, et al. Nefropatia inducida por contraste: identificación de riesgos para promoción de buenas prácticas. Enfermería Global, 2019;18:79-118.
29. SOUZA JEV, et al. Morbidade e custos públicos hospitalares pela insuficiência renal crônica. Rev. enferm. UFPE on line, 2019; 1-7.
30. WANG Z, et al. Role of hydration in contrast-induced nephropathy in patients who underwent primary percutaneous coronary intervention a meta-analysis of randomized trials. International Heart Journal, 2019; 60(5):1077-1082.
31. WEISBORD S, et al. Contrast-associated acute kidney injury and serious adverse outcomes following angiography. Journal of the American College of Cardiology, 2020; 75(11):1311-1320.
32. YANG Y, et al. Contrast-induced acute kidney injury and adverse clinical outcomes risk in acute coronary syndrome patients undergoing percutaneous coronary intervention: a meta-analysis. BMC nephrology, 2018; 19(1):1-10.
33. ZHANG F, et al. Advances in the pathogenesis and prevention of contrast-induced nephropathy. Life sciences, 2020;259:118379.
34. ZHANG W, et al. Effectiveness of oral hydration in preventing contrast-induced acute kidney injury in patients undergoing coronary angiography or intervention: a pairwise and network meta- analysis. Coronary artery disease, 2018; 29(4): 286-293.
2. BEHZADI A, et al. Trimetazidine reduces contrast-induced nephropathy in patients with renal insufficiency undergoing coronary angiography and angioplasty: A systematic review and meta-analysis (PRISMA). Medicine, 2021; 100(10).
3. BRIGUORI C, et al. Renal insufficiency following contrast media administration trial III: Urine flow rate-guided versus left-ventricular end-diastolic pressure-guided hydration in high-risk patients for contrast-induced acute kidney injury. Rationale and design. Catheterization and Cardiovascular Interventions, 2020; 95(5): 895-903.
4. CARMONA-MONGE FJ, et al. Assessment of nursing workload in three groups of patients in a Spanish ICU using the Nursing Activities Score Scale. Revista da Escola de Enfermagem da USP, 2013; 47(2):335-340.
5. CHO A, et a. Beneficial effect of statin on preventing contrast-induced acute kidney injury in patients with renal insufficiency: a meta-analysis. Medicine,2020; 99(10).
6. COELHO FUA, et al. Nursing activities score and acute kidney injury. Revista brasileira de enfermagem, 2017; 70:475-48.
7. DE GARSPINI MLG, et al. Prevenção da Nefropatia induzida por contraste em pacientes submetidos a procedimentos em cardiologia intervencionista e hemodinâmica. Saúde em Revista, 2019; 77-86.
8. DE SOUSA LMM, et al. A metodologia de revisão integrativa da literatura em enfermagem, 2017;17.
9. FASOI G, et al. Assessment of Nursing Workload as a Mortality Predictor in Intensive Care Units (ICU) Using the Nursing Activities Score (NAS) Scale. International Journal of Environmental Research and Public Health, 2021; 18(1):79.
10. FUJIWARA W, et al. A simple proteinuria-based risk score predicts contrast-associated acute kidney injury after percutaneous coronary intervention. 2022.
11. GHAEMIAN A, et al. Remote ischemic preconditioning to reduce contrast-induced acute kidney injury in chronic kidney disease: a randomized controlled trial. BMC nephrology, 2018; 19(1): 1-7.
12. GOMES CS, et al. Fatores associados às doenças cardiovasculares na população adulta brasileira: Pesquisa Nacional de Saúde, 2019.
13. HAGIKURA A, et al. The role of saline and sodium bicarbonate preprocedural hydration to prevent mid-term renal insufficiency in patients with chronic kidney disease undergoing percutaneous coronary intervention. Internal Medicine, 2019; 1442-18.
14. HE H, et al. Prevalence and predictors of contrast-induced nephropathy (CIN) in patients with ST-segment elevation myocardial infarction (STEMI) undergoing percutaneous coronary intervention (PCI): A meta-analysis. Journal of Interventional Cardiology, 2019; 2019.
15. LIN K, et al. P5541 Is the classic definition of contrast-induced nephropathy suitable for elderly patients? is renal insufficiency a risk factor?. European Heart Journal, 2018;39:5541.
16. LIU Y, et al. Hydration for prevention of kidney injury after primary coronary intervention for acute myocardial infarction: a randomised clinical trial. Heart, 2022; 108(12):948-955.
17. LOFORTE DL, et al. Evaluación de pacientes con nefropatía inducida por contraste posterior a la angioplastia coronaria transluminal percutánea. Acta Médica, 2021; 22(1).
18. LUN Z, et al. The global incidence and mortality of contrast-associated acute kidney injury following coronary angiography: a meta-analysis of 1.2 million patients. Journal of Nephrology, 2021;34(5):1479-1489.
19. MA WQ, et al. Comparative efficacy of pharmacological interventions for contrast-induced nephropathy prevention after coronary angiography: a network meta-analysis from randomized trials. International urology and nephrology, 2018; 50(6):1085-1095.
20. MACCARIELLO E. Constrast induced nephropathy. J Bras Nefrol, 2016; 38:388-389.
21. MARCELINO J, et al. Reações adversas a meios de contraste iodados. Rev Port Imunoalergol, 2019; 27(1): 9-20.
22. MOURA ELB, et al. Lesão renal aguda induzida por contraste: importância dos critérios diagnósticos para estabelecer a prevalência e o prognóstico na unidade de terapia intensiva. Revista Brasileira de Terapia Intensiva, 2017; 29: 303-309.
23. MICHEL P, et al. Meta‐analysis of intravascular volume expansion strategies to prevent contrast‐associated acute kidney injury following invasive angiography. Catheterization and Cardiovascular Interventions,2021;98(6):1120-1132.
24. NABI Z, et al. Contrast Induced Nephropathy In High Risk Patients-Myth Or Reality. Journal of Ayub Medical College, Abbottabad: JAMC, 2021; 33(4):568-571.
25. NOVARETTI MCZ, et al. Sobrecarga de trabalho da Enfermagem e incidentes e eventos adversos em pacientes internados em UTI. Revista Brasileira de Enfermagem,2014;67:692-699.
26. SAAD JA, et al. Diretriz para realização de exames diagnósticos e terapêuticos em hemodinâmica. Arquivos Brasileiros de Cardiologia, 2004; 82:1-6.
27. SHIN H, et al. Current comments on contrast media administration in patients with renal insufficiency. Clinical Imaging, 2021;69:37-44.
28. SILVA TL, et al. Nefropatia inducida por contraste: identificación de riesgos para promoción de buenas prácticas. Enfermería Global, 2019;18:79-118.
29. SOUZA JEV, et al. Morbidade e custos públicos hospitalares pela insuficiência renal crônica. Rev. enferm. UFPE on line, 2019; 1-7.
30. WANG Z, et al. Role of hydration in contrast-induced nephropathy in patients who underwent primary percutaneous coronary intervention a meta-analysis of randomized trials. International Heart Journal, 2019; 60(5):1077-1082.
31. WEISBORD S, et al. Contrast-associated acute kidney injury and serious adverse outcomes following angiography. Journal of the American College of Cardiology, 2020; 75(11):1311-1320.
32. YANG Y, et al. Contrast-induced acute kidney injury and adverse clinical outcomes risk in acute coronary syndrome patients undergoing percutaneous coronary intervention: a meta-analysis. BMC nephrology, 2018; 19(1):1-10.
33. ZHANG F, et al. Advances in the pathogenesis and prevention of contrast-induced nephropathy. Life sciences, 2020;259:118379.
34. ZHANG W, et al. Effectiveness of oral hydration in preventing contrast-induced acute kidney injury in patients undergoing coronary angiography or intervention: a pairwise and network meta- analysis. Coronary artery disease, 2018; 29(4): 286-293.