A novel strategy to prevent contrast nephropathy: “Continuous hemodiafiltration”

Key Points Pre‐procedural “at risk” assessment for Contrast Induced Acute Kidney Injury (CI‐AKI). Peri‐procedural volume expansion is essential. Contrast Minimus: Practice “As Low as Reasonably Allowable”. Fewer views, minimal contrast per‐injection and utilization of adjunctive direct coronary imaging. No left ventriculography or aortography. Optimize Renal Hemodynamics: Pre‐procedural treatment of systemic venous‐renal congestion. Avoidance of intra‐procedural hypotension.