Can Peripheral Angiography Be Safely Performed in Patients with Chronic Renal Insufficiency Without Significant Risk of Contrast-Associated Renal Injury in Outpatient Settings?

Authors

• Mubashar Choudry, Washington Vascular Specialists, Takoma Park, MD; Stony Brook Medicine, Stony Brook, NY
• Artem Shmelev, Washington Vascular Specialists, Takoma Park, MD; Stony Brook Medicine, Stony Brook, NY
• 0. Pierce Sebastian, Washington Vascular Specialists, Takoma Park, MD; Stony Brook Medicine, Stony Brook, NY
• Noor-E-Fatima Khan, Washington Vascular Specialists, Takoma Park, MD; Stony Brook Medicine, Stony Brook, NY
• Aleezay Farhat, Washington Vascular Specialists, Takoma Park, MD; Stony Brook Medicine, Stony Brook, NY
• Donald Wilkerson, Washington Vascular Specialists, Takoma Park, MD; Stony Brook Medicine, Stony Brook, NYFollow

Abstract

Contrast-associated acute kidney injury (CA-AKI) is a known complication following

coronary angiographic procedures using iodinated contrast media (ICM). The risk of CA-AKI is

multifactorial, dependent largely on estimated glomerular filtration rates. The most important

and accepted hospital-based preventive strategy involves both a reduction of iodinated contrast

and multi-hour pre- and post-intervention normal saline hydration. Because of time constraints,

neither ambulatory surgical centers (ASC), nor outpatient-based laboratories (OBL)

can provide similar degrees of pre- and post-intervention hydration. The utilization of

carbon dioxide (CO₂) imaging, intravascular ultrasonography, and limited iso-osmolar

contrast agents may provide an alternative preventive strategy.

Recommended Citation

Choudry, Mubashar; Shmelev, Artem; Sebastian, 0. Pierce; Khan, Noor-E-Fatima; Farhat, Aleezay; and Wilkerson, Donald (2026) "Can Peripheral Angiography Be Safely Performed in Patients with Chronic Renal Insufficiency Without Significant Risk of Contrast-Associated Renal Injury in Outpatient Settings?," Journal of Community Hospital Internal Medicine Perspectives: Vol. 16: Iss. 5, Article 2.
DOI: https://doi.org/10.55729/2000-9666.1642
Available at: https://scholarlycommons.gbmc.org/jchimp/vol16/iss5/2

DOI

10.55729/2000-9666.1642