The Challenges in Assessing Contrast-Induced Nephropathy: Where Are We Now?

被引：73

作者：

Davenport, Matthew S. ^{[1
]}

Cohan, Richard H. ^{[1
]}

Khalatbari, Shokoufeh ^{[2
]}

Ellis, James H. ^{[1
]}

机构：

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

[2] Michigan Inst Clin & Hlth Res, Ann Arbor, MI USA

来源：

AMERICAN JOURNAL OF ROENTGENOLOGY | 2014年 / 202卷 / 04期

关键词：

complications; contrast-induced nephropathy (CIN); contrast media; low-osmolar contrast medium (LOCM); safety; ACUTE KIDNEY INJURY; MATERIAL-INDUCED NEPHROTOXICITY; GLOMERULAR-FILTRATION-RATE; INDUCED RENAL-FAILURE; INTRAVENOUS CONTRAST; CT ANGIOGRAPHY; RISK; MEDIA; CREATININE; INSUFFICIENCY;

D O I：

10.2214/AJR.13.11369

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. The objective of our study was to exposit the shifting perspectives on contrast-induced nephropathy (CIN) for IV low-osmolar iodinated contrast media. CONCLUSION. The historically inflated risk of CIN reflects logistic and intellectual pitfalls that continue to confound the study of this disease. Recent advances have clarified that the incidence of CIN is much lower than previously thought, but there are lingering questions. We suggest that CIN is likely real but is rare and offer directions for future study.

引用

页码：784 / 789

页数：6

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