Contrast-medium-induced nephropathy: is there a new consensus? A review of published guidelines
- 4 May 2006
- journal article
- research article
- Published by Springer Science and Business Media LLC in European Radiology
- Vol. 16 (8), 1835-1840
- https://doi.org/10.1007/s00330-006-0223-4
Abstract
The interest in contrast-medium-induced nephropathy has increased considerably during the last few years. Various guidelines regarding identifying patients at risk and measures to reduce the incidence of this complication have been proposed. The aim of this review was to analyse whether there is some consistency amongst these guidelines. A Medline search for the keyword “contrast medium induced nephropathy” during the period from the beginning of 2003 through the end of September 2005 was carried out. Only papers in English were reviewed. Thirteen guidelines were identified. Inconsistency was observed regarding advise on the prophylactic use of drugs and the isoosmolar dimer to reduce the incidence of contrast-medium-induced nephropathy. Consistency was found in relation to the importance of hydration, cessation of intake of nephrotoxic drugs and administration of the lowest possible dose of contrast medium. No new consensus has been observed in comparison to the European Society for Urogenital Radiology (ESUR) guidelines, which were published in 1999.Keywords
This publication has 30 references indexed in Scilit:
- The role of osmolality in the incidence of contrast-induced nephropathy: A systematic review of angiographic contrast media in high risk patientsKidney International, 2005
- Nephrotoxicity of low-osmolality versus iso-osmolality contrast agents: Impact of N-acetylcysteineKidney International, 2005
- Nephropathy induced by contrast media: pathogenesis, risk factors and preventive strategiesCMAJ : Canadian Medical Association Journal, 2005
- Radiocontrast-Induced Acute Renal FailureJournal of Intensive Care Medicine, 2005
- Contrast-Induced NephropathyAmerican Journal of Roentgenology, 2004
- A simple risk score for prediction of contrast-induced nephropathy after percutaneous coronary interventionJournal of the American College of Cardiology, 2004
- Impact of nephropathy after percutaneous coronary intervention and a method for risk stratificationThe American Journal of Cardiology, 2004
- Measuring inconsistency in meta-analysesBMJ, 2003
- Oral acetylcysteine does not protect renal function from moderate to high doses of intravenous radiographic contrastCatheterization and Cardiovascular Interventions, 2003
- Effect of Sodium Bicarbonate Preloading on Ischemic Renal FailureNephron, 1986