Administrators, Editors, Administrators
3,484
edits
Changes
Jump to navigation
Jump to search
*'''Treating or mitigating risk factors'''
:*'''Hydration''' by drinking or intravenous volume expander, either before or after contract administration, decreases the risk of contrast-induced nephropathy.<ref name="YangHiremath2013">{{cite journal|last1=Yang|first1=Xiaoming|last2=Hiremath|first2=Swapnil|last3=Akbari|first3=Ayub|last4=Shabana|first4=Wael|last5=Fergusson|first5=Dean A.|last6=Knoll|first6=Greg A.|title=Prevention of Contrast-Induced Acute Kidney Injury: Is Simple Oral Hydration Similar To Intravenous? A Systematic Review of the Evidence|journal=PLoS ONE|volume=8|issue=3|year=2013|pages=e60009|issn=1932-6203|doi=10.1371/journal.pone.0060009}}</ref>
→Contrast-induced nephropathy: Split treating risk factors
The main alternatives in people with a risk of contrast-induced nephropathy are:
*'''Adjustment''' of the radiocontrast dose
*'''Treating or mitigating risk factors'''
*Using '''no intravenous contrast''' for the investigation.
*Switching to '''another modality''' such as [[ultrasonography]] or [[MRI]]
===Risk factors===
:*For [[CT of pulmonary embolism]] in patients with risk factors, dual energy CTA (such as 90/150SnkVp) is feasible even at iodine doses of 6g (such as 15 ml of 370 mg/ml of iodine).<ref name="LeroyerMeier2016">{{cite journal|last1=Leroyer|first1=Christophe|last2=Meier|first2=Andreas|last3=Higashigaito|first3=Kai|last4=Martini|first4=Katharina|last5=Wurnig|first5=Moritz|last6=Seifert|first6=Burkhardt|last7=Keller|first7=Dagmar|last8=Frauenfelder|first8=Thomas|last9=Alkadhi|first9=Hatem|title=Dual Energy CT Pulmonary Angiography with 6g Iodine—A Propensity Score-Matched Study|journal=PLOS ONE|volume=11|issue=12|year=2016|pages=e0167214|issn=1932-6203|doi=10.1371/journal.pone.0167214}}</ref>
:*Other diseases of the thorax, such as parenchymal changes, can often be evaluated adequately without the use of intravenous contrast.
===Treating risk factors===
Risk factors can sometimes be treated or at least mitigated, especially if having suddenly appeared, such as a decreased renal function when it was previously normal. In such cases a common easily treated cause is dehydration.
'''Hydration''' by drinking or intravenous volume expander, either before or after contract administration, decreases the risk of contrast-induced nephropathy.<ref name="YangHiremath2013">{{cite journal|last1=Yang|first1=Xiaoming|last2=Hiremath|first2=Swapnil|last3=Akbari|first3=Ayub|last4=Shabana|first4=Wael|last5=Fergusson|first5=Dean A.|last6=Knoll|first6=Greg A.|title=Prevention of Contrast-Induced Acute Kidney Injury: Is Simple Oral Hydration Similar To Intravenous? A Systematic Review of the Evidence|journal=PLoS ONE|volume=8|issue=3|year=2013|pages=e60009|issn=1932-6203|doi=10.1371/journal.pone.0060009}}</ref>
==Phases==
