IMR Press / RCM / Volume 2 / Issue S1 / pii/1561516078659-2039454855

Reviews in Cardiovascular Medicine (RCM) is published by IMR Press from Volume 19 Issue 1 (2018). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by IMR Press on as a courtesy and upon agreement with MedReviews, LLC.

Open Access Review
Radiocontrast-Induced Acute Renal Failure: Allocations and Outcomes
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1 Lenox Hill Heart and Vascular Institute,Cardiovascular Research Foundation,New York, NY
Rev. Cardiovasc. Med. 2001, 2(S1), 9–13;
Published: 20 January 2001
Radiocontrast-induced nephropathy causes significant morbidity and mortality with increase in hospital length of stay and costs. It can be largely prevented by identifying the patients at risk before the procedure. Once the at-risk patient is identified, ways to prevent the development of acute renal failure are: avoiding volume depletion, aggressive saline hydration with the aim of keeping the urine output over 150 mL/hour, and the use of low-osmolality contrast agents, with as little volume used as possible. There is theoretical potential for the dopamine DA1 agonist fenoldopam as a preventive agent, and this is currently being tested in randomized trials.
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