Renal Risk of Contrast-Enhanced Imaging – Is It a Myth? The Latest Opinions of the Guidelines

Autor:	Ileana Adela Vacaroiu, Cristiana David, Daniela Radulescu
Rok vydání:	2020
Předmět:	Medicine (General) medicine.medical_specialty nephrotoxic business.industry contrast-induced aki General Medicine Contrast (music) contrast agent R5-920 medicine Medicine prophylaxis Radiology business hydration risk
Zdroj:	Modern Medicine, Vol 27, Iss 2, Pp 87-90 (2020)
ISSN:	2360-2473 1223-0472
DOI:	10.31689/rmm.2020.27.2.87
Popis:	Over the last decade, several divergent views have been expressed regarding the effect that iodinated contrast agents may have on renal function. Evidence-based medicine often requires the recommendation of high-performance contrast-enhanced imaging exams for precise positive diagnosis. The fear of intravenous contrast use in patients with elevated serum creatinine seems to become an old dogma, outdated by the benefits of the procedures. Patients with glomerular filtration rate below 30 mL/min/1.73 m2 can be protected by peri-procedural hydration and withdrawal of other nephrotoxics. Whatever the degree of risk, current guidelines recommend contrast-enhanced investigations in any situations where the advantages for the diagnosis are certain.
Databáze:	OpenAIRE
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