Renal dysfunction after arteriography.
Acute renal failure has been observed in patients undergoing angiography in which a hypertonic triiodinated contrast medium is used. To ascertain the incidence of renal dysfunction and the clinical risk factors, we did a prospective study in which creatinine clearance was measured before and immediately after 120 arteriographic procedures. Thirty-seven patients (31%) sustained a significant reduction in creatine clearance after arteriography. No specific risk factor could be determined. Our findings, however, indicate that patients with preexisting renal insufficiency or diabetes mellitus are not at a higher risk for sustaining a fall in creatinine clearance after angiography.
D058186:Acute Kidney Injury / Q000139:chemically induced; D000792:Angiography / Q000009:adverse effects*; D001027:Aortography / Q000009:adverse effects; D002533:Cerebral Angiography / Q000009:adverse effects; D003287:Contrast Media / Q000009:adverse effects*; D003404:Creatinine / Q000378:metabolism; D003920:Diabetes Mellitus / Q000503:physiopathology; D005919:Glomerular Filtration Rate; D006801:Humans; D007674:Kidney Diseases / Q000139:chemically induced*; D008297:Male; D008657:Metabolic Clearance Rate; D008875:Middle Aged; D009994:Osmolar Concentration; D011446:Prospective Studies; D012306:Risk
D003287:Contrast Media; D003404:Creatinine