Same-Day Angiography, Heart Surgery Increases AKI Risk.

Performing heart surgery the same day as angiography increases the risk for acute kidney injury (AKI), while limiting this practice reduces AKI incidence. An Annals of Thoracic Surgery study involving 4440 patients undergoing cardiac surgery and preoperative diagnostic angiography found that those who received surgery and angiography on the same day were 58% more likely to develop stage 2–3 AKI. An institutional policy limiting the practice of surgery on the same day of angiography led to a 30% decrease of stage 1 AKI and 42% decrease of any AKI.