Risk factors and impact of contrast left ventriculogram on incidence of contrast-induced nephropathy: is left ventriculogram really necessary?




Introduction


Left ventriculogram is a common procedure done in a cardiac catheterization lab to assess and calculate patients’ left ventricle wall motion and function. However, such information can also be obtained from other noninvasive tests like transthoracic echocardiogram (TTE) and other noninvasive imaging modalities. This would save patients from increased radiation as well as increased risk of contrast-induced nephropathy (CIN). In our study, we assess the necessity of left ventriculogram and its comparison with TTE to assess LV function. Also analyzed were the risk factors and incidence seen in our patients for CIN.




Methods


For the purpose of this quality control initiative, a retrospective chart review was done in patients who underwent cardiac catheterization and also had a left ventriculogram performed. Comparison was made with equal number of controls. Data including demographics, medical history, laboratory parameters including baseline and change in creatinine levels and risk factors were collected and analyzed. Also test results were compared with patients’ TTE results. No end-stage renal disease patients were included in the study.

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Nov 16, 2017 | Posted by in CARDIOLOGY | Comments Off on Risk factors and impact of contrast left ventriculogram on incidence of contrast-induced nephropathy: is left ventriculogram really necessary?

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