[Contrast-media-induced nephrotoxicity].
The use of diagnostic and therapeutic catheterization is increasing and so is the exposure to radiocontrast media. As a consequence, an increasing incidence of contrast media-associated nephropathy is being observed. This article reviews pathogenesis, clinical symptoms and preventive measures of contrast media-associated nephropathy. Most important prophylactic measures is identification of high-risk patients, careful selection to be exposed to contrast media, application of non-ionic low osmolality or -- most recently -- iso-osmolality contrast media, adjusted hydration with isotonic saline before/during catheter interventions, and potentially the administration of acetylcysteine.
Adolph
E
E
Universität Rostock, Klinik und Poliklinik für Innere Medizin, Abteilung für Kardiologie.
Chatterjee
T
T
Ince
H
H
Eckard
H
H
Rehders
T
T
Kische
S
S
Drawert
S
S
Petzsch
M
M
Nienaber
C A
CA
D003287:Contrast Media / Q000009:adverse effects*; D017700:Embolism, Cholesterol / Q000139:chemically induced; D006801:Humans; D007674:Kidney Diseases / Q000139:chemically induced* / Q000473:pathology / Q000517:prevention & control / Q000628:therapy; D012307:Risk Factors
D003287:Contrast Media