The aim of this study is to determine whether sodium bicarbonate is superior to sodium chloride in preventing contrast induced nephropathy in diabetic patients undergoing coronary angiography or intervention.
Contrast induced nephropathy (CIN) is a common cause of renal failure associated with prolonged hospitalization, significant morbidity or mortality, and cost. CIN has been reported to account for 10% of hospital acquired renal failure. Several strategies or medications were tried to prevent CIN. Of these, mucomyst and normal saline infusion are effective to prevent CIN. Sodium bicarbonate has shown mixed results from recent randomized trials. Moreover,limited data have been available for preventing CIN in diabetic renal dysfunction undergoing coronary angiography or intervention. Our hypothesis is that addition of sodium bicarbonate will be more efficacious than normal saline in preventing CIN at above situation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
368
3 mL/kg for 1 hour immediately before contrast injection , 1mg/kg/hr during procedure and 6 hours after procedure
0.9% normal saline with 1 mL/kg/hr infusion 12 hours before procedure and 12 hours after procedure
Soonchunhyang University Bucheon Hospital
Bucheon-si, South Korea
RECRUITINGBusan Saint Mary Hospital
Busan, South Korea
RECRUITINGSoonchunhyang University Hospital, Cheonan
Cheonan, South Korea
Incidence of contrast-induced nephropathy
Time frame: 24 and 48 hours after angiography or intervention
all-cause mortality
Time frame: 30 days after index angiography
stroke
Time frame: 30 days after index angiography
Dialysis
Time frame: 30 days after index angiography
Myocardial infarction
Time frame: 30 days after index angiography
all-cause mortality
Time frame: 30 days to 6 months after index angiography
stroke
Time frame: 30 days to 6 months after index angiography
dialysis
Time frame: 30 days to 6 months after index angiography
myocardial infarction
Time frame: 30 days to 6 months after index angiography
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Kangwon National University Hospital
Chuncheon, South Korea
RECRUITINGChungnam National University Hospital
Daejeon, South Korea
RECRUITINGGangneung Asan Hospital
Gangneung, South Korea
RECRUITINGAsan Medical Center
Seoul, South Korea
RECRUITINGSoonchunhyang University Seoul Hospital
Seoul, South Korea
RECRUITINGUlsan University Hospital
Ulsan, South Korea
RECRUITING