Radiocontrast-induced nephropathy. Prevention is better than cure.
The principal predisposing factor in radiocontrast-induced nephropathy appears to be underlying renal insufficiency. Identifying patients at risk is of paramount importance when a diagnostic study is being chosen. Contrast-reliant studies should be avoided, if possible, in high-risk patients. If challenge with a contrast medium is essential, appropriate risk stratification and adequate patient preparation should be done beforehand. Ultimately, prevention is a better approach than cure.
Mehra
M R
MR
Alton Ochsner Medical Foundation, New Orleans, LA 70121.
Sharif
K
K
Bode
F R
FR
D058186:Acute Kidney Injury / Q000139:chemically induced / Q000453:epidemiology / Q000517:prevention & control*; D015897:Comorbidity; D003287:Contrast Media / Q000008:administration & dosage / Q000009:adverse effects* / Q000145:classification; D003404:Creatinine / Q000097:blood; D004305:Dose-Response Relationship, Drug; D016903:Drug Monitoring; D004359:Drug Therapy, Combination; D005665:Furosemide / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D008353:Mannitol / Q000008:administration & dosage / Q000627:therapeutic use; D011322:Primary Prevention / Q000379:methods; D012307:Risk Factors
D003287:Contrast Media; D008353:Mannitol; D005665:Furosemide; D003404:Creatinine