Contrast safety in the cancer patient: preventing contrast-induced nephropathy

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Contrast safety in the cancer patient: preventing contrast-induced nephropathy

Cancer patients undergo frequent imaging examinations. Computed tomography (CT) examinations for tumor staging and assessment of treatment response generally require administration of intravascular contrast medium. Iodinated contrast agents for CT are associated with the risk of contrast-induced nephrotoxicity (CIN), particularly in patients with impaired renal function and diabetes. In many ca...

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Preventing contrast-induced nephropathy: a basic solution.

This is a good quality study that demonstrates a dramatic decrease in the incidence of contrast nephropathy with the use of sodium bicarbonate infusion prior to contrast administration. However, this study does have some shortcomings. The small sample size resulted in relatively wide confidence intervals and made the generally low attrition rate more significant. The data was not analyzed on an...

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Preventing Nephropathy Induced by Contrast Medium

Copyright © 2006 Massachusetts Medical Society. A 71-year-old man with type 2 diabetes and hypertension is referred for coronary angiography. His medications include metformin and a thiazide. Before the angiogram, his serum creatinine level is 1.8 mg per deciliter (160 μmol per liter), yielding an estimated glomerular filtration rate of 40 ml per minute per 1.73 m2 of body-surface area. What ca...

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Preventing nephropathy induced by contrast medium.

Copyright © 2006 Massachusetts Medical Society. A 71-year-old man with type 2 diabetes and hypertension is referred for coronary angiography. His medications include metformin and a thiazide. Before the angiogram, his serum creatinine level is 1.8 mg per deciliter (160 μmol per liter), yielding an estimated glomerular filtration rate of 40 ml per minute per 1.73 m2 of body-surface area. What ca...

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Is Nebivolol Really Effective in Preventing Contrast Induced Nephropathy?

BACKGROUND/AIMS Contrast induced nephropathy (CIN) has multifactorial etiopatogenesis including oxidative stress and vasoconstriction. Nebivolol is an antioxidant and has vasodilatatory effect via NO release and may prevent CIN development. We have noticed that a few number of studies that have evaluated the effectiveness of nebivolol for the prevention of CIN used serum creatinine (sCr) levels...

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ژورنال

عنوان ژورنال: Cancer Imaging

سال: 2008

ISSN: 1470-7330

DOI: 10.1102/1470-7330.2008.9018