Contrast-induced acute kidney injury (CI-AKI) is a potentially serious complication following coronary angiography and percutaneous coronary intervention (PCI). The incidence of CI-AKI is particularly high in patients with advanced chronic kidney disease (defined as an estimated glomerular filtration rate <30 mL/min/1.73 m²).

Editors

JACC: Cardiovascular Interventions Editor-in-Chief
David J. Moliterno, MD, FACC

JACC: Cardiovascular Interventions CME Editor
Michael C. McDaniel, MD

Authors

Lorenzo Azzalini, MD, PhD, MSc
Marcel Almendarez, MD

CME Information

Target Audience

JACC Journal CME/MOC/ECME is intended for physicians who treat patients with cardiovascular disease.

Important Dates

Date of Release: October 7, 2019
Term of Approval/Date of CME/MOC/ECME Expiration: October 6, 2020

Learner Objectives
After reading this article the reader should be able to:

• Identify patients at high risk for developing contrast-induced acute kidney injury (CI-AKI) post–percutaneous coronary intervention (PCI).
• Compare the scientific evidence of procedural strategies and dedicated devices aimed at reducing the overall contrast volume administered and its consequences on kidney function.
• Implement an ultra-low-contrast-volume PCI protocol to reduce the incidence of CI-AKI.

Method of Participation and Claiming Credit
This ACC JACC Journals CME/MOC/ECME activity includes the reading of an article published in one of the JACC journals and the successful completion of self-assessment questions.  

Requesting AMA PRA Category 1 CME Credit™ and/or MOC or ECME credit for this Activity
To request credit, you must:

1. Read the article for which you wish to receive credit.
2. Answer the self-assessment questions. You need to have achieved a passing score of 70% or better in order for the Evaluation link to become activated. If you did not achieve a passing score, please click on the Posttest link in the left navigation bar and retake the exam.
3. After you complete the Evaluation, click on the Claim Credit button in the left navigation bar.
4. For CME or COP credit, enter the total amount of time you actually spent in the activity in the box provided. Please note that you may only claim once for this activity. Click Claim. 
5. For MOC credit, click the Claim button in the row for MOC. Please note that you may only claim once for this activity. Confirm your ABIM number and date of birth.
6. For ECME credit, click the Claim button in the row for ECME. Please note that you may only claim once for this activity. Enter your date of birth and click Submit.
7. The page will be updated with the date and time that you claimed your credit.
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