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- W2339969115 abstract "Introduction: Acute Kidney Injury (AKI) is common, morbid and costly. Reducing contrast volume is one of the most effective strategies to reduce AKI, but physicians are not necessarily aware of the AKI risk nor limits of contrast use. Therefore, the volume of contrast used during PCI varies tremendously. No study has examined practical strategies to identify a safely tolerated limit of contrast. Methods: We developed a novel, patient-centric strategy to identify a safely tolerated limit of contrast during PCI. We identify AKI risk using the ACC NCDR CathPCI Aki risk model. We then use the contrast volume/eGFR ratio among deciles of AKI risk strata. Multiplying these ratios by eGFR results in the safely tolerated limit of contrast. We implemented this at Barnes Jewish Hospital (N=2,268 PCIs, 2013 -2015), we identified the impact of implementing this method on reducing costs and improving AKI outcomes. Results: For a high risk patient undergoing PCI, the decision aid for identifying safely tolerated risk of AKI is shown (Fig1). Since implementation, contrast volumes have reduced from 240 ml to 135 ml. AKI rates have reduced from7.75% to 3.6%. This has translated into reduced cost, estimated at $ 780,000. Conclusions: We have identified a novel patient centered method to reduce contrast volume during PCI. This has resulted in a greater than 50% reduction in reducing contrast volume and AKI rates. Furthermore, this has resulted in cost-savings of $700,000. Our study underscores an important opportunity of patient" @default.
- W2339969115 created "2016-06-24" @default.
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- W2339969115 date "2016-03-01" @default.
- W2339969115 modified "2023-10-16" @default.
- W2339969115 title "Abstract 111: A Patient-centered Approach to Reduce Contrast Volume During Percutaneous Coronary Intervention to Prevent Acute Kidney Injury" @default.
- W2339969115 doi "https://doi.org/10.1161/circoutcomes.9.suppl_2.111" @default.
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