A primer in radiocontrast-induced nephropathy

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A primer in radiocontrast-induced nephropathy.

Despite recent medical progress in supportive medical absent, DM present (n=318); (iii) RI present, DM absent (n=298); (iv) both RI and DM present (n=216) therapy, the frequency of hospital-acquired acute renal failure has increased in recent years from ~5% to [14]. The frequency of RCIN, defined as an increase of serum creatinine 0.5 mg/dl, was 8.5% for iohexol (I ) 6.4% [1,2]. Even more distr...

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Radiocontrast induced nephropathy.

In spite of improvements in chemical structure, contrast media assisted X-ray examination is still the third leading cause of hospital-acquired acute renal failure. An increase >50% or >88 micro mol/L in S-creatinine is a clinically important acute renal failure. The peak in S-creatinine occurs within 2-5 days after exposure. The frequency of oliguria, transient or permanent haemodialysis is un...

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alpha2-Adrenergic agonists protect against radiocontrast-induced nephropathy in mice.

Radiocontrast nephropathy (RCN) is a common clinical problem for which there is no effective therapy. Utilizing a murine model, we tested the hypothesis that alpha(2)-adrenergic receptor agonists (clonidine and dexmedetomidine) protect against RCN induced with iohexol (a nonionic low-osmolar radiocontrast). C57BL/6 mice were pretreated with saline, clonidine, or dexmedetomidine before induction...

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N-acetylcysteine in the prevention of radiocontrast-induced nephropathy.

N-acetylcysteine is a remarkably active agent shown to be useful in a variety of clinical settings. The drug has actions relevant to radiocontrast-induced nephropathy (RCIN) that include vasodilatation, enhancement of renal medullary blood flow, and antioxidant properties. The drug's pharmacokinetics are remarkable for almost complete first pass metabolism after oral administration, resulting i...

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Hemofiltration in the prevention of radiocontrast agent induced nephropathy.

AIM The aim of the study was to investigate the role of hemofiltration in preventing contrast nephropathy in patients with renal failure. METHODS We randomized 114 renal failure patients undergoing percutaneous coronary interventions (PCI) to either peri-procedural hemofiltration or saline hydration. RESULTS Contrast nephropathy occurred in 5% of hemofiltration-treated patients and in 50% i...

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ژورنال

عنوان ژورنال: Nephrology Dialysis Transplantation

سال: 1999

ISSN: 1460-2385,0931-0509

DOI: 10.1093/ndt/14.12.2830