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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 imrpress.com as a courtesy and upon agreement with MedReviews, LLC.
Open Access
Review
Past and Present Attempts to Prevent Radiocontrast Nephropathy
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1
University of Texas Health Sciences Center at San Antonio, TX
Rev. Cardiovasc. Med. 2001, 2(S1), 14–18;
Published: 20 January 2001
Abstract
Radiocontrast nephropathy is an under-recognized event after coronary and radiographic angiography, with major morbidity and mort ality. Patients at greatest risk for RCN can be defined prior to the procedure based on age, presence of diabetes, and presence of preexisting renal dysfunction. Despite attempts to alter preprocedural hydration, amount of dye administered, and postprocedural therapies, this clinical event continues to affect over 25% of patients at high risk. This discussion will review the literature in order to understand the attempts that have been made to prevent radiocontrast nephropathy.
Keywords
Radiocontrast nephropathy
Creatinine
Forced diuresis
Dopamine receptors
Hydration