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The Prevention and Management of Contrast-induced Acute Kidney Injury: A Mini-review of the Literature

Contrast-induced acute kidney injury, also called contrast-induced nephropathy, is one of the main causes of acute renal failure/acute kidney injury (AKI) in hospitalized patients within 48 to 72 hours of contrast media administration during various radiologic procedures. Several factors can be resp...

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Detalles Bibliográficos
Autores principales: Ali, Asad, Bhan, Chandur, Malik, Muhammad Bilal, Ahmad, Malik Qistas, Sami, Shahzad Ahmed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6235634/
https://www.ncbi.nlm.nih.gov/pubmed/30443454
http://dx.doi.org/10.7759/cureus.3284
Descripción
Sumario:Contrast-induced acute kidney injury, also called contrast-induced nephropathy, is one of the main causes of acute renal failure/acute kidney injury (AKI) in hospitalized patients within 48 to 72 hours of contrast media administration during various radiologic procedures. Several factors can be responsible for contrast-induced acute tubular necrosis (ATN); however, patient and procedure-related factors play the lead role in determining the development of contrast-induced nephropathy. There is no definitive treatment and hydration remains the mainstay preventive strategy. This article will review the incidence, criteria for definitive diagnosis, and an effective approach on how to prevent contrast-induced nephropathy in a clinical setup.