Application of systemic inflammation score for the assessment of contrast-induced acute kidney injury; a review

Abstract

Contrast-related acute renal failure is a multifactorial condition that involves oxidative stress, inflammation, and direct tubular toxicity. Risk factors for contrast-induced nephropathy comprise pre-existing kidney dysfunction, diabetes mellitus, advanced age, congestive heart failure, hypotension, anemia, and volume depletion. Preventive measures include identifying high-risk patients and implementing preventive measures such as adequate hydration, minimizing contrast use, and avoiding using contrast media in patients with pre-existing renal dysfunction. The systemic inflammation score is a promising tool for predicting contrast-associated acute kidney injury (CA-AKI) in patients undergoing contrast-enhanced imaging procedures. Further studies are needed to validate the use of SIS in clinical practice and to better understand the underlying mechanisms of inflammation in (CA-AKI).

Keywords

• contrast-associated acute kidney injury
• acute kidney injury
• contrast media
• systemic inflammation score
• contrast nephropathy
• tubular cytotoxicity
• renal vasoconstriction
• oxidative stress
• renal dysfunction