Nephrotoxicity of ionic and nonionic contrast media in 1196 patients: A randomized trial
Michael R. Rudnick,Stanley Goldfarb,Lewis Wexler,Philip A. Ludbrook,Mary J. Murphy,Elkan F. Halpern,James A. Hill,Michael D. Winniford,Martin B. Cohen,Douglas B. VanFossen +9 more
TLDR
In patients undergoing cardiac angiography, only those with pre-existing RI alone or combined with DM are at higher risk for acute contrast nephrotoxicity, according to a multivariate analysis.About:
This article is published in Kidney International.The article was published on 1995-01-01 and is currently open access. It has received 918 citations till now. The article focuses on the topics: Nephrotoxicity & Iohexol.read more
Citations
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Acute kidney injury
TL;DR: Evidence suggests that patients who have had acute kidney injury are at increased risk of subsequent chronic kidney disease, and new diagnostic techniques (eg, renal biomarkers) might help with early diagnosis.
Journal ArticleDOI
Hospital-acquired renal insufficiency.
TL;DR: Renal function in 4,622 consecutive patients admitted to the medical and surgical services of an urban tertiary care hospital was followed up prospectively from the time of admission and age and preexisting renal insufficiency were risk factors for HARI.
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Acute Renal Failure After Coronary Intervention: Incidence, Risk Factors, and Relationship to Mortality
TL;DR: In this article, the authors defined the incidence, predictors, and mortality related to acute renal failure (ARF) and renal failure requiring dialysis (ARFD) after coronary intervention, and derived the prior probability of ARFD in a second set of 1,869 consecutive patients.
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Incidence and Prognostic Importance of Acute Renal Failure After Percutaneous Coronary Intervention
Charanjit S. Rihal,Stephen C. Textor,Diane E. Grill,Peter B. Berger,Henry H. Ting,Patricia J.M. Best,Mandeep Singh,Malcolm R. Bell,Gregory W. Barsness,Verghese Mathew,Kirk N. Garratt,David R. Holmes +11 more
TL;DR: The overall incidence of ARF after PCI is low, and diabetic patients with baseline Cr values <2.0 mg/dL are at higher risk than nondiabetic patients, whereas all patients with a serum Cr >2.
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Prevention of radiographic-contrast-agent-induced reductions in renal function by acetylcysteine.
TL;DR: Prophylactic oral administration of the antioxidant acetylcysteine, along with hydration, prevents the reduction in renal function induced by contrast agents in patients with chronic renal insufficiency.
References
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Hospital-acquired renal insufficiency: A prospective study
TL;DR: It is concluded that there is a substantial risk of the development of renal failure in hospital and that the mortality rate due to hospital-acquired renal insufficiency remains high.
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Contrast material-induced renal failure in patients with diabetes mellitus, renal insufficiency, or both. A prospective controlled study.
Patrick S. Parfrey,Sheila M. Griffiths,Brendan J. Barrett,Michael D. Paul,Margot Genge,John Withers,Nadir R. Farid,P J McManamon +7 more
TL;DR: It is concluded that there is little risk of clinically important nephrotoxicity attributable to contrast material for patients with diabetes and normal renal function or for nondiabetic patients with preexisting renal insufficiency.
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Metaanalysis of the relative nephrotoxicity of high- and low-osmolality iodinated contrast media.
Brendan J. Barrett,Euan Carlisle +1 more
TL;DR: Use of LOCM may be beneficial in patients with existing renal failure, and the pooled odds of a rise in SCr level of more than 44 mumol/L with LOCM was three times that after HOCM.
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Report of the committee on the genetic constitution of the X chromosome
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Dosing of contrast material to prevent contrast nephropathy in patients with renal disease.
TL;DR: In patients with diabetes and renal impairment, it may be preferable to perform angiography as a staged procedure or to utilize alternative techniques to obtain the desired information rather than to exceed the prescribed contrast limit.