[Prevention of contrast nephropathy: myth or reality?].
Prevention of Contrast Media induced acute renal failure is of importance, especially in patients with chronic renal failure. Vasodilatators such as fenoldopam and prophylactic hemodialysis have been reported to procure disappointing results. Hydratation prior to and post- exposure to contrast media remains the cornerstone of prevention. Urine alcalinisation with sodium bicarbonate may bring additional renoprotection. Use of a small quantity of contrast media and Acetylcysteine concomitantly to hydratation are also recommended.
Ponte
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Département de Médecine Interne, Hôpitaux Universitaires de Genève. Belen.Ponte@hcuge.ch
Saudan
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D058186:Acute Kidney Injury / Q000139:chemically induced* / Q000503:physiopathology / Q000517:prevention & control; D003287:Contrast Media / Q000009:adverse effects*; D006801:Humans
D003287:Contrast Media