Articles
| Open Access |
https://doi.org/10.5281/zenodo.20035217
MANAGEMENT OF PATIENTS WITH CKD STAGE 3B AND CKD STAGE 4 IN PREPARATION FOR CORONARY ANGIOGRAPHY OR PCI
Azizova F.F , Center for the Development of Professional Qualifications of Medical Workers, Tashkent, Uzbekistan Khalilova M.Zh , “Ezgu Niyat” Clinic, Cardiologist, Interventional Specialist, Tashkent, Uzbekistan Karzhavova M.N , Chirchik Branch of the Tashkent State Medical University, Chirchik, Tashkent Region, UzbekistanAbstract
Chronic kidney disease (CKD) stages 3b–4 (eGFR <45 mL/min/1.73 m²) significantly complicate the management of patients with ischemic heart disease (IHD), increasing the risk of contrast-induced nephropathy (CIN), bleeding complications, cardiovascular events, and in-hospital mortality. At the same time, there is a high need for invasive assessment of the coronary vasculature and performance of percutaneous coronary interventions (PCI) in this patient population.
The aim of this article is to summarize the key principles of preparation and management of patients with CKD stages 3B–4 who are scheduled for coronary angiography (CAG) and PCI, with an emphasis on minimizing renal and hemorrhagic risks.
Keywords
At the same time, there is a high need for invasive assessment of the coronary vasculature and performance of percutaneous coronary interventions (PCI) in this patient population.
References
KDIGO Clinical Practice Guideline for Acute Kidney Injury.
KDIGO Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease.
ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST‑segment elevation.
KDIGO guideline contrast-induced nephropathy
Mehran risk score contrast-induced nephropathy”
Prevention of contrast-induced nephropathy in CKD patients undergoing PCI”
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