Safety of Using Contrast Agents in Coronary Angiography in a Multidisciplinary Hospital in Volgograd

Contrast-induced nephropathy (CIN) is a serious adverse reaction to contrast agents used in radiography. It important study the epidemiology of CIN and risk factors for developing complication order improve quality care that patients receive during coronary interventions. The aim was investigate incidence after angiography (CAG) with iopromide analyse cost-effectiveness using this agent multidisciplinary hospital Volgograd. Materials methods . first part comprised medical record review 147 having undergone interventions (CAG its combinations balloon angioplasty stenting) cardiology department from September 2020 October 2021. involved identifying cases by serum creatinine changes, assigning scores, assessing volume used. second included calculating expenses purchasing agent, both total average per CAG procedure. Results Having analysed authors identified 46 (31.3%) patients. According Mehran scores CIN, baseline high 4 (2.7%) patients, moderate 35 (23.8%) low 108 (73.5%) On average, procedure 126.19 ± 36.35 mL agent. exceeded 100 66 (44.9%) maximum acceptable dose (MACD) 8 (5.4%) MACD values were calculated R.J. Cigarroa’s formula. cost amounted 1927.8 rubles. Conclusions one third highest observed diabetes mellitus according score. increased upon exceeding To reduce recommend including calculation formula assessment score percutaneous intervention protocols.