Reducing the Risk of Contrast-Induced Nephropathy: A Perspective on the Controversies

被引：58

作者：

Ellis, James H. ^{[1
]}

Cohan, Richard H. ^{[1
]}

机构：

[1] Univ Michigan Hlth Syst, Dept Radiol, Univ Hosp B1 D502, Ann Arbor, MI 48109 USA

来源：

AMERICAN JOURNAL OF ROENTGENOLOGY | 2009年 / 192卷 / 06期

关键词：

contrast-induced nephropathy; contrast material; guidelines; iodinated contrast material; kidneys; nephrotoxicity; renal function; GLOMERULAR-FILTRATION-RATE; N-ACETYLCYSTEINE; SERUM CREATININE; RENAL-DISEASE; SODIUM-BICARBONATE; CYSTATIN-C; PREVENTION; METAANALYSIS; IODIXANOL; EQUATIONS;

D O I：

10.2214/AJR.09.2368

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

OBJECTIVE. Contrast-induced nephropathy (CIN) remains poorly understood despite decades of investigation, and the criteria for diagnosis are variable. The purpose of this article is to discuss current controversies in contrast-induced nephropathy including its prevention. CONCLUSION. Patients with normal renal function are at exceptionally low risk for CIN. Patients with preexisting renal insufficiency appear to be at higher risk and precautionary maneuvers may be warranted in some of these patients; however, iodinated contrast material should not be withheld if a contrast-enhanced study is necessary and there is no alternative.

引用

页码：1544 / 1549

页数：6

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