2020
DOI: 10.12968/hmed.2020.0394
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The place of hydration using intravenous fluid in patients at risk of developing contrast-associated nephropathy

Abstract: There has been a significant rise in the incidence of contrast-associated nephropathy caused by administration of contrast media during cardiac interventions. This is one of the major complications of percutaneous coronary interventions, which may proceed to acute renal failure. Risk factors, including pre-existing renal dysfunction, older age and use of high osmolar contrast media, predispose patients to the development of contrast-associated nephropathy. Different risk-reduction strategies have been used to … Show more

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Cited by 3 publications
(2 citation statements)
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“…Contrast-induced nephropathy (CIN) may develop in patients with CKD that receive IV or intra-arterial iodinated contrast agents for imaging or therapeutic interventions. CIN may be prevented by administering 1 mL/kg/h hydration normal saline for 6–12 h both pre- and post-procedure unless the patient is already hypervolemic or receiving renal replacement therapy [ 52 , 53 ]. For urgent procedures, a higher dose (3 mL/kg/h) may be infused 1 h prior to and 6 h post-procedure.…”
Section: Contrast-induced Nephropathymentioning
confidence: 99%
“…Contrast-induced nephropathy (CIN) may develop in patients with CKD that receive IV or intra-arterial iodinated contrast agents for imaging or therapeutic interventions. CIN may be prevented by administering 1 mL/kg/h hydration normal saline for 6–12 h both pre- and post-procedure unless the patient is already hypervolemic or receiving renal replacement therapy [ 52 , 53 ]. For urgent procedures, a higher dose (3 mL/kg/h) may be infused 1 h prior to and 6 h post-procedure.…”
Section: Contrast-induced Nephropathymentioning
confidence: 99%
“…First, NS patients have renal insufficiency, and are at the risk of contrast-induced nephropathy (CIN). CIN is a common complication after cerebrovascular interventional diagnosis or therapeuty, and CIN may proceed to acute renal failure and is associated with significant mortality and morbidity8 . Risk factors include older age, the use of high osmolar contrast media, previous renal dysfunction, such as nephrotic syndrome.…”
mentioning
confidence: 99%