[From the SIN Mailing List: the use of hemodialysis after radiocontrast media administration in patients with chronic renal failure].
Over the last few years there has been a progressive increase in percutaneous endovascular procedures in patients with chronic renal disease, due to the high incidence of vascular disease, particularly coronary artery disease, in this population. The use of contrast medium may further worsen renal function in such patients, in some cases even accelerating the progression towards end-stage renal failure, and increase patients morbidity and mortality. In this review we discuss the role of dialysis in preventing contrast-induced nephropathy and indications to its use in patients already on dialysis treatment undergoing diagnostic or therapeutic procedures with contrast medium injection.
Guastoni
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UO Nefrologia, Ospedale Civile di Legnano (MI), Italy. carlo.guastoni@ao-legnano.it
De Servi
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D003287:Contrast Media / Q000009:adverse effects*; D017583:Hemodiafiltration; D006801:Humans; D007676:Kidney Failure, Chronic / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000517:prevention & control*; D011859:Radiography; D006435:Renal Dialysis
D003287:Contrast Media