MDCalc

Mehran Score for Post-PCI Contrast Nephropathy

Predicts risk of contrast-induced nephropathy (CIN) after percutaneous coronary intervention (PCI).

Use variables at the time of PCI.

Hypotension
SBP <80 for ≥1 hr requiring inotrope or balloon pump within 24 hrs of cath
Intra-aortic balloon pump
Congestive heart failure
CHF class III/IV by New York Heart Association Classification and/or history of pulmonary edema
Age >75 years
Anemia
Baseline hematocrit value <39% for men and <36% for women
Diabetes
mL
eGFR, mL/min/1.73 m²

Result:

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Advice

Consider renal protective measures such as N-acetylcysteine and limiting contrast volume in patients at high risk of CIN.