Contrast associated nephropathy after intravenous administration: what is the magnitude of the problem?

被引:17
|
作者
Rachoin, Jean-Sebastien [1 ,2 ]
Wolfe, Yanika [1 ]
Patel, Sharad [1 ]
Cerceo, Elizabeth [2 ]
机构
[1] Cooper Univ Hlth Care, Dept Crit Care Med, Camden, NJ 08103 USA
[2] Cooper Univ Hlth Care, Div Hosp Med, Camden, NJ 08103 USA
关键词
Acute kidney injury; contrast-induced nephropathy; CT scan; outcomes; incidence; ESRD; ACUTE KIDNEY INJURY; COMPUTED-TOMOGRAPHY; RENAL-FUNCTION; EMERGENCY-DEPARTMENT; RISK STRATIFICATION; MEDIA; DIALYSIS; HYDRATION; DISEASE; CT;
D O I
10.1080/0886022X.2021.1978490
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Intravenous contrast media (CM) is often used in clinical practice to enhance CT scan imaging. For many years, contrast-induced nephropathy (CIN) was thought to be a common occurrence and to result in dire consequences. When treating patients with abnormal renal function, it is not unusual that clinicians postpone, cancel, or replace contrast-enhanced imaging with other, perhaps less informative tests. New studies however have challenged this paradigm and the true risk attributable to intravenous CM for the occurrence of CIN has become debatable. In this article, we review the latest relevant medical literature and aim to provide an evidence-based answer to questions surrounding the risk, outcomes, and potential mitigation strategies of CIN after intravenous CM administration.
引用
收藏
页码:1311 / 1321
页数:11
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