Prevention of Nephrotoxicity Induced by Radiocontrast Agents
- 24 November 1994
- journal article
- Published by Massachusetts Medical Society in New England Journal of Medicine
- Vol. 331 (21) , 1449-1450
- https://doi.org/10.1056/nejm199411243312111
Abstract
The intravascular administration of iodinated contrast agents is part of many diagnostic and therapeutic radiologic procedures. Since these agents have no therapeutic value, it is important that they be safe. The contrast agents that have been in use for many years have a high osmolality and are ionic, and their administration has been associated with anaphylactoid events, cardiovascular instability, and nephrotoxicity. Recently, low-osmolality contrast agents, ionic and nonionic, have been introduced to reduce the incidence of side effects.Nephrotoxicity caused by contrast agents is usually identified clinically by an increase in the serum creatinine concentration. In many studies, the condition . . .Keywords
This publication has 10 references indexed in Scilit:
- Effects of Saline, Mannitol, and Furosemide on Acute Decreases in Renal Function Induced by Radiocontrast AgentsNew England Journal of Medicine, 1994
- Contrast nephrotoxicity.Journal of the American Society of Nephrology, 1994
- Risk of radiocontrast nephropathy in patients with and without diabetes mellitusKidney International, 1994
- Metaanalysis of the relative nephrotoxicity of high- and low-osmolality iodinated contrast media.Radiology, 1993
- Contrast nephropathy in patients with impaired renal function: High versus low osmolar mediaKidney International, 1992
- A Comparison of Nonionic, Low-Osmolality Radiocontrast Agents with Ionic, High-Osmolality Agents during Cardiac CatheterizationNew England Journal of Medicine, 1992
- Nephrotoxicity from contrast material in renal insufficiency: ionic versus nonionic agents.Radiology, 1991
- A randomized comparison of the nephrotoxicity of iopamidol and diatrizoate in high risk patients undergoing cardiac angiographyJournal of the American College of Cardiology, 1991
- Contrast nephropathy in azotemic diabetic patients undergoing coronary angiographyThe American Journal of Medicine, 1990
- Contrast Material-Induced Renal Failure in Patients with Diabetes Mellitus, Renal Insufficiency, or BothNew England Journal of Medicine, 1989