Renal Risk of Contrast-Enhanced Imaging – Is It a Myth? The Latest Opinions of the Guidelines
Over the last decade, several divergent views have been expressed regarding the effect that iodinated contrast agents may have on renal function. Evidence-based medicine often requires the recommendation of high-performance contrast-enhanced imaging exams for precise positive diagnosis. The fear of...
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| Format: | Article |
| Language: | English |
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Bucharest College of Physicians
2020-06-01
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| Series: | Modern Medicine |
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| Online Access: | https://medicinamoderna.ro/wp-content/uploads/2020/06/RMM_art-4.pdf |
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| author | Daniela RADULESCU Cristiana DAVID Ileana Adela VACAROIU |
| author_facet | Daniela RADULESCU Cristiana DAVID Ileana Adela VACAROIU |
| author_sort | Daniela RADULESCU |
| collection | DOAJ |
| description | Over the last decade, several divergent views have been expressed regarding the effect that iodinated contrast
agents may have on renal function. Evidence-based medicine often requires the recommendation of high-performance contrast-enhanced imaging exams for precise positive diagnosis. The fear of intravenous contrast use in patients with elevated serum creatinine seems to become an old dogma, outdated by the benefits of the procedures. Patients with glomerular filtration rate below 30 mL/min/1.73 m2 can be protected by peri-procedural hydration and withdrawal of other nephrotoxics. Whatever the degree of risk, current guidelines recommend contrast-enhanced investigations in any situations where the advantages for the diagnosis are certain. |
| format | Article |
| id | doaj-art-7dcd2310e2ee4c4ea9c838383b6fed01 |
| institution | OA Journals |
| issn | 1223-0472 2360-2473 |
| language | English |
| publishDate | 2020-06-01 |
| publisher | Bucharest College of Physicians |
| record_format | Article |
| series | Modern Medicine |
| spelling | doaj-art-7dcd2310e2ee4c4ea9c838383b6fed012025-08-20T02:13:40ZengBucharest College of PhysiciansModern Medicine1223-04722360-24732020-06-012728790https://doi.org/10.31689/rmm.2020.27.2.87Renal Risk of Contrast-Enhanced Imaging – Is It a Myth? The Latest Opinions of the GuidelinesDaniela RADULESCU0Cristiana DAVID1Ileana Adela VACAROIU2Department of Nephrology and Dialysis, „Sfantul Ioan” Emergency Clinical Hospital, Bucharest, RomaniaDepartment of Nephrology and Dialysis, „Sfantul Ioan” Emergency Clinical Hospital, Bucharest, RomaniaDepartment of Nephrology and Dialysis, „Sfantul Ioan” Emergency Clinical Hospital, Bucharest, RomaniaOver the last decade, several divergent views have been expressed regarding the effect that iodinated contrast agents may have on renal function. Evidence-based medicine often requires the recommendation of high-performance contrast-enhanced imaging exams for precise positive diagnosis. The fear of intravenous contrast use in patients with elevated serum creatinine seems to become an old dogma, outdated by the benefits of the procedures. Patients with glomerular filtration rate below 30 mL/min/1.73 m2 can be protected by peri-procedural hydration and withdrawal of other nephrotoxics. Whatever the degree of risk, current guidelines recommend contrast-enhanced investigations in any situations where the advantages for the diagnosis are certain.https://medicinamoderna.ro/wp-content/uploads/2020/06/RMM_art-4.pdfcontrast agentnephrotoxiccontrast-induced akiriskprophylaxishydration |
| spellingShingle | Daniela RADULESCU Cristiana DAVID Ileana Adela VACAROIU Renal Risk of Contrast-Enhanced Imaging – Is It a Myth? The Latest Opinions of the Guidelines Modern Medicine contrast agent nephrotoxic contrast-induced aki risk prophylaxis hydration |
| title | Renal Risk of Contrast-Enhanced Imaging – Is It a Myth? The Latest Opinions of the Guidelines |
| title_full | Renal Risk of Contrast-Enhanced Imaging – Is It a Myth? The Latest Opinions of the Guidelines |
| title_fullStr | Renal Risk of Contrast-Enhanced Imaging – Is It a Myth? The Latest Opinions of the Guidelines |
| title_full_unstemmed | Renal Risk of Contrast-Enhanced Imaging – Is It a Myth? The Latest Opinions of the Guidelines |
| title_short | Renal Risk of Contrast-Enhanced Imaging – Is It a Myth? The Latest Opinions of the Guidelines |
| title_sort | renal risk of contrast enhanced imaging is it a myth the latest opinions of the guidelines |
| topic | contrast agent nephrotoxic contrast-induced aki risk prophylaxis hydration |
| url | https://medicinamoderna.ro/wp-content/uploads/2020/06/RMM_art-4.pdf |
| work_keys_str_mv | AT danielaradulescu renalriskofcontrastenhancedimagingisitamyththelatestopinionsoftheguidelines AT cristianadavid renalriskofcontrastenhancedimagingisitamyththelatestopinionsoftheguidelines AT ileanaadelavacaroiu renalriskofcontrastenhancedimagingisitamyththelatestopinionsoftheguidelines |