Contrast-induced acute kidney injury: specialty-specific protocols for interventional radiology, diagnostic computed tomography radiology, and interventional cardiology.

摘要: Contrast-induced acute kidney injury (AKI) (also known as contrast-induced nephropathy) is an abrupt deterioration in renal function that can be associated with use of iodinated contrast medium. Although the increase serum creatinine concentration transient most cases, AKI may lead to increased morbidity and mortality rates selected at-risk populations. This review summarizes findings a multidisciplinary panel composed computed tomography radiologists, interventional cardiologists, nephrologists convened address specialty-specific issues minimizing incidence AKI. As part this initiative, developed protocols for preventing AKI, taking into account, example, variations patient risk profile, inpatient or outpatient status, staffing resources characterize various clinical settings. The 3 protocols, each reflecting consensus expert opinion, prevention radiology, diagnostic cardiology are presented context recent guidelines published reports trials discuss its prevention. reviewed materials retrieved by PubMed search covering period January 1990 through 2008 used combinations key words treatment In addition, reference lists articles tables contents posted on Web sites journals relevant publications not searches.