Pentoxifylline for the prevention of contrast-induced nephropathy in diabetic patients undergoing angioplasty : a randomized controlled trial

OBJECTIVES: Contrast-induced nephropathy (CIN) is one of the most important complications of contrast media. We aimed to evaluate the preventive effects of pentoxifylline (PTX) on CIN in diabetic patients undergoing angioplasty using cystatin C.

MATERIALS AND METHODS: The present study was a randomized clinical trial, which was investigated the impact of PTX in the prevention of CIN among 90 diabetic patients undergoing the angioplasty using cystatin C as a novel biomarker of renal injury. The patients randomly were allocated 1:1 into the intervention and the control groups. The intervention group received a total of 1200 mg PTX orally before the angioplasty. The serum level of cystatin C and creatinine was measured at baseline and 24 h after the procedure.

RESULTS: The incidence of CIN was 8.9% in the PTX group vs. 6.7% in the control group (p = 1.00). The baseline level of cystatin C was 1.31 ± 0.39 mg/L in the PTX group and 1.24 ± 0.42 mg/L in the control group (p = 0.561). After angioplasty, the level of cystatin C was increased to 1.33 ± 0.61 in PTX group and to 1.31 ± 0.47 in the control group but was not statistically significant. The similar pattern was also seen in the level of serum creatinine.

CONCLUSIONS: The results of this study did not support the potential benefit of PTX in the prevention of CIN in diabetic patients undergoing angioplasty.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:51

Enthalten in:

International urology and nephrology - 51(2019), 4 vom: 04. Apr., Seite 699-705

Sprache:

Englisch

Beteiligte Personen:

Aslanabadi, Naser [VerfasserIn]
Afsar Gharebagh, Roghayeh [VerfasserIn]
Moharramzadeh, Saba [VerfasserIn]
Entezari-Maleki, Taher [VerfasserIn]

Links:

Volltext

Themen:

AYI8EX34EU
Angioplasty
Biomarkers
Contrast Media
Contrast-induced nephropathy (CIN)
Creatinine
Cystatin C
Diabetes
Free Radical Scavengers
Journal Article
Pentoxifylline
Randomized Controlled Trial
SD6QCT3TSU

Anmerkungen:

Date Completed 30.12.2019

Date Revised 25.02.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s11255-019-02104-6

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM294548610