Table 1.
Age (years) |
Baseline Scr (mg/dL) |
eGFR (mL/min/1.73 m²) |
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Study | Cases (n) | Bicarbonate | Saline | Male (%) | DM (%) | HT (%) | Bicarbonate | Saline | Bicarbonate | Saline |
Merten et al 19 | 119 | 66.7* | 69.2* | 73 vs 76 | 50 vs 46 | NA | 1.89* | 1.71* | 41.0* | 45.0* |
Ozcan et al 50 | 176 | 68.0* | 70.0* | 76 vs 75 | 42 vs 48 | 75 vs 81 | 1.36* | 1.40* | NA | NA |
Masuda et al 33 | 59 | 75.0±8.0 | 76.0±11.0 | 63 vs 59 | 27 vs 35 | NA | 1.31±0.52 | 1.32±0.65 | 40.2±15.4 | 38.7±15.4 |
REMEDIAL et al 20 | 219 | 70.0±9.0 | 71.0±9.0 | 88 vs 81 | 49 vs 55 | 92 vs 87 | 2.04* | 1.95* | 32.0±7.0 | 71.0±9.0 |
Adolph et al 7 | 145 | 70.1±8.4 | 72.7±6.6 | 75 vs 81 | 37 vs 28 | 83 vs 91 | 1.54±0.51 | 1.57±0.36 | NA | NA |
Brar et al 8 | 323 | 71.0* | 71.0* | 62 vs 65 | 43 vs 46 | NA | 1.49† | 1.49† | 47.7† | 48.3† |
Maioli et al 9 | 502 | 74.0* | 74.0* | 57 vs 61 | 25 vs 23 | 59 vs 57 | 1.21±0.30 | 1.20±0.30 | NA | NA |
Tamura et al 23 | 144 | 72.3±9.9 | 73.3±7.7 | 92 vs 83 | 60 vs 57 | 85 vs 83 | 1.36±0.18 | 1.38±0.19 | 40.0±7.5 | 38.2±0.2 |
Vasheghani et al 10 | 265 | 62.9±10.0 | 63.8±9.0 | 84 vs 82 | 22 vs 21 | 30 vs 41 | 1.63±0.32 | 1.66±0.50 | 46.4±12.0 | 45.4±12.0 |
Castini et al 12 | 103 | 70.0±8.3 | 72.7±8.2 | 85 vs 84 | 35 vs 20 | 71 vs 78 | 1.59±0.38 | 1.49±0.30 | 46.9±12.8 | 49.9±10.3 |
Vasheghani et al 11 | 72 | 61.4† | 62.7† | 78 vs 81 | 33 vs 38 | 66 vs 71 | 1.77† | 1.71† | 42.7† | 44.2† |
Motohiro et al 24 | 155 | 71.0±9.0 | 74.0±7.0 | 76 vs 64 | 56 vs 63 | 86 vs 83 | 1.54±0.43 | 1.55±0.44 | 45.7±12.9 | 42.8±13.8 |
PREVENT et al 13 | 382 | 65.8* | 67.5* | 71 vs 71 | 100 vs 100 | 77 vs 80 | 1.50* | 1.50* | 46.0* | 46.0* |
Ueda et al 18 | 59 | 77.0±9.0 | 75.0±10.0 | 77 vs 79 | 10 vs 10 | NA | 1.32±0.46 | 1.51±0.59 | 42.4±11.5 | 38.7±12.6 |
Klima et al 21 | 176 | 78.0* | 75.0* | 66 vs 62 | 39 vs 34 | 90 vs 81 | 1.60* | 1.60* | 43.1† | 43.0† |
Gomes et al 15 | 301 | 64.1±12.0 | 64.5±12.0 | 15 vs 75 | 29 vs 30 | 77 vs 74 | 1.50±0.40 | 1.49±0.50 | 50.5±13.0 | 51.9±13 |
Hafiz et al 14 | 320 | 74.0* | 73.0* | 57 vs 57 | 49 vs 45 | 95 vs 94 | 1.65* | 1.60* | 41.5* | 40.5* |
Kristeller et al 17 | 92 | 72.0±11.0 | 73.0±11.0 | 64 vs 52 | 52 vs 38 | 89 vs 92 | NA | NA | 48.9† | 49.4† |
Boucek et al 16 | 120 | 63.0† | 67.0† | 75 vs 75 | NA | NA | 1.92† | 1.81† | 43.6† | 44.6† |
Kooiman et al 22 | 548 | 71.6† | 72.5† | 60 vs 61 | 27 vs 27 | NA | NA | NA | 49.9† | 50.9† |
Contrast type and volume (mL) | |||||
---|---|---|---|---|---|
Procedure | Interventions | Bicarbonate | Saline | Hydration regimen | Definition of CIN |
Elective diagnostic/interventional procedures | SB vs SC | NA | NA | 3 mL/kg/h for 1 h before and 1 mL/kg/h for 6 h after the procedure of SB or SC | Scr↑ ≥25% within 2 days |
Iopamidol, non-ionic, low-osmolar | |||||
Elective CAG/PCI | SB vs SC | 100* | 100* | 1 mL/kg/h for 6 h before and after the procedure of SB or SC | Scr↑ >0.5 mg/dL or 25% within 2 days |
Ioxaglate, ionic, low-osmolar | |||||
Emergency CAG/PCI | SB vs SC | 112±89 | 120±61 | 3 mL/kg/h for 1 h before and 1 ml/kg/h for 6 h after the procedure of SB or SC Bolus 0.5 mg/mL SB before and SC 1 mL/kg/h for 6 h during and after in both groups | Scr↑ ≥0.5 mg/dL or 25% within 2 days |
Iopamidol, non-ionic, low-osmolar | |||||
Elective CAG/PCI/peripheral procedure | SB+NAC vs NS+NAC | 169±92 | 179±9 | SB: 3 mL/kg/h for 1 h before and 1 mL/kg/h for 6 h after; NS: 1 mL/kg/h for 12 h before and 12 h after | Scr↑ ≥25% within 2 days |
Iodixanol, non-ionic, iso- osmolar | |||||
Elective CAG/PCI | SB vs SC | 141±50 | 138±52 | 2 mL/kg/h for 2 h before and 1 mL/kg/h for 6 h after the procedure of SB or SC | Scr↑ >0.5 mg/dL or 25% within 2 days |
Iodixanol, non-ionic, iso- osmolar | |||||
Elective CAG | SB vs SC | 126* | 137* | 3 mL/kg/h for 1 h before and 1.5 mL/kg/h for 4 h after the procedure of SB or SC | eGFR↓ >25% within 4 days |
Ioxilan, non-ionic, iso- osmolar | |||||
Elective CAG/PCI | SB vs IS | 160* | 170* | SB: 3 mL/kg/h for 1 h before and 1 mL/kg/h for 6 h after; IS: 1 mL kg/h for 12 h after | Scr↑ ≥0.5 mg/dL within 5 days |
Iodixanol, non-ionic, iso- osmolar | |||||
Elective CAG/PCI | Bolus SB+SC vs SC | 82±40 | 88±45 | Single-bolus SB 20 mL for 5 min before and SC 1 mL/kg/h for 12 h before and after the procedure; 1 mL/kg/h for 12 h before and after the procedure of SC | Scr↑ >0.5 mg/dL or 25% within 3 days |
Iohexol, non-ionic, low-osmolar | |||||
Elective CAG | SB+IS vs IS | 115±41 | 113.2±36 | 3 mL/kg/h for 1 h before and 1 mL/kg/h for 6 h after in both groups | Scr↑ ≥0.5 mg/dL or 25% within 2 days |
Iohexol, non-ionic, low-osmolar | |||||
Elective CAG/PCI | SB vs SC | 179±125 | 196±128 | SB: 3 mL/kg/h for 1 h before and 1 mL/kg/h for 6 h after; SC: 1 mL/kg/h for 12 h before and after | Scr↑ ≥25% within 5 days |
Iodixanol, non-ionic, low-osmolar | |||||
Elective CAG | SB+half SC vs half SC | 112† | 123† | 3 mL/kg/h for 1 h before and 1 mL/kg/h for 6 h after the procedure of 75 mL SB to 1 L of 0.45% SC; 1075 mL of 0.45% SC | Scr↑ ≥0.5 mg/dL or 25% within 2 days |
Iohexol, non-ionic, low-osmolar | |||||
Elective CAG/PCI | SB+SC vs SC | 140±50 | 130±40 | 1 mL/kg/h SC 12 h before and 1 mL/kg/h SB from 3 h before to 6 h after the procedure, then 1 mL/kg/h SC for 12 h; 1 mL/kg/h SC 12 h before and 12 h after the procedure | Scr↑ ≥0.5 mg/dL or >25% within 2 days |
Iopamidol, non-ionic, low-osmolar | |||||
Elective CAG/angioplasty/endovascular intervention | SB vs SC | 113* | 120* | SB: 3 mL/kg/h for 1 h before and 1 mL kg h for 6 h after; SC: 1 mL/kg/h for 12 h | Scr↑ ≥0.5 mg/dL or >25% within 2 days |
Iodixanol, non-ionic, low-osmolar | |||||
Emergency CAG/PCI | SB vs SC | 116±63 | 104±57 | Bolus 0.5 mg/mL SB before and SC 1 mL/kg/h for 6 h during and after in both groups | Scr↑ ≥0.5 mg/dL or >25% within 2 days |
Iopamidol/iohexol, low-osmolar | |||||
Elective CAG/PCI/PTA/CT/PAG | SB vs SC | 100* | 100* | SB: 3 mL/kg/h for 1 h before and 1 mL/kg/h for 6 h after; SC: 1 m/kg/h for 24 h | Scr↑ ≥0.5 mg/dL or 25% within 2 days |
Iopromide/iohexol, etc., iso/low-osmolar | |||||
Elective CAG/PCI | SB vs NS | 124±65 | 125±87 | 3 mL/kg/h for 1 h before and 1 mL/kg/h for 6 h after the procedure of SB or NS | Scr↑ ≥0.5 mg/dL within 2 days |
Hexabrix/loxaglate, low-osmolar | |||||
Elective CAG/PAG/intervention | SB w/o NAC vs NS w/o NAC |
110* | 100* | SB: 3 mL/kg/h for 1 h before and 1 mL/kg/h for 6 h after; NS: 1 mL/kg/h for 12 h before and 12 h after | Scr↑ >0.5 mg/dL or 25% within 2 days |
Iodixanol/iopamidol/ioversol, non-ionic, low-osmolar | |||||
Elective CPB | SB vs IS | 74† | 83† | 3 mL/kg/h for 1 h before and 1 mL/kg/h for 6 h after the procedure of SB or IS | Scr↑ ≥0.3 mg/dL or 50% or urine output <0.5 mL/kg/h (>6 h) within 5 days |
NA | NA | ||||
Elective CAG/lower limb angiography and/or angioplasty | SB vs NS | 115† | 104† | 3 mL/kg/h for 1 h before and 1 mL/kg/h for 6 h after the procedure of SB or SC | Scr↑ ≥0.5 mg/dL or 25% within 2 days |
Iodinated, non-ionic, low-osmolar | |||||
Elective CECT | SB vs IS | 105.7† | 104.7† | 250 mL SB for 1 h before; 1000 mL IS before and 1000 mL IS after | Scr↑0.5 mg/dL or 25% within 4 days |
Iomeprol/iobitridol/iodixanol, low-osmolar |
*Median value.
†Mean value.
DM, diabetes mellitus; CAG, coronary angiography; CECT, contrast-enhanced computerised tomography; CIN, contrast-induced nephropathy; CPB, cardiopulmonary bypass; eGFR, estimated glomerular filtration rate; HT, hypertension; IS, isotonic saline; NA, not applicable; NAC, N-acetylcysteine; NS, normal saline; PAG, peripheral angiography; PCI, percutaneous coronary intervention; PTA, percutaneous transluminal angioplasty; SB, sodium bicarbonate; SC, sodium chloride; Scr, serum creatinine; w/o, with/without.