Acute renal failure induced by contrast medium: steps towards prevention

Acute renal failure induced by contrast medium: steps towards prevention.

Clinical and experimental evidence for prevention of acute renal failure induced by radiographic contrast media.

Acute renal failure still occurs as a complication after radiographic examination using iodinated radiocontrast medium. The incidence rate of radiocontrast medium-induced nephropathy (radiocontrast nephropathy) is low (2 - 3%) in general. However, the rate is remarkably elevated in patients with pre-existing renal insufficiency. Radiocontrast nephropathy is associated with increased morbidity a...

Prevention of Contrast-Induced Renal Failure for the Interventional Cardiologist.

Patients treated by the interventional cardiologist are now older and more frequently have coexistent renal insufficiency than in the past. Exacerbation of renal function can be a serious, morbid complication of cardiac catheterization or intervention and efforts to avoid this untoward event are important to acknowledge. The incidence of contrast-induced nephropathy (CIN) ranges from 2% in pati...

Acute renal failure precipitated by radiographic contrast medium in a patient with rhabdomyolysis.

Prevention of acute renal failure.

Acute renal failure (ARF) complicates the clinical course of many critically ill patients and significantly adds to their morbidity and mortality. Efforts to develop techniques to prevent ARF or to facilitate its resolution largely have been unsuccessful. Aggressive hydration, minimizing nephrotoxins, and maintenance of "adequate" mean arterial pressure remain the main nonpharmacologic strategi...