Does the volume of radiocontrast used during left ventricular pacemaker lead implantation for CRT affect the risk of contrast-induced nephropathy?
Minimizing radiocontrast volume during CRT implantation reduces procedural times and the risk of contrast-induced nephropathy without compromising lead placement.
Risk of CIN with CRT implantations was substantial. Increased volume of radiocontrast used for LV lead placement was associated with substantially increased risk of CIN. Minimal contrast use was associated with decreased procedural times without adverse impact on adequacy of lead placement.
Tester et al. (Sun,) studied this question.