Send to

Choose Destination
Rev Med Inst Mex Seguro Soc. 2015 Jul-Aug;53(4):484-8.

[Evolution of contrast nephropathy in patients with chronic kidney disease undergoing a percutaneous coronary intervention].

[Article in Spanish; Abstract available in Spanish from the publisher]

Author information

Hospital de Especialidades Centro Médico Nacional La Raza,Instituto Mexicano del Seguro Social, Distrito Federal, México.


in English, Spanish


Current epidemiological transition from infectious to chronic-degenerative diseases is more and more demanding procedures requiring contrast medium, which turns out to be a risk factor for acute renal major damage in patients with chronic kidney disease. The aim of this article is to describe the frequency and evolution of Contrast-induced nephropathy in ambulatory patients with chronic kidney disease undergoing percutaneous coronary intervention.


We included patients with renal damage at the time of exposure to the contrast medium. They took a risk and were adjusted prevention measures follow at 48 hrs. Statistical analysis was performed using descriptive statistics.


From 1236 cardiac catheterization procedure performed, 32 patients met the inclusion criteria. The 96.87% had chronic degenerative diseases such as diabetes or hypertension, overweight and obesity were a constant in 65.62% of cases, in 21.7% of patients the contrast dose was slightly higher than recommended. The 6.3% developed contrast-induced nephropathy with elevated creatinine greater than 25% at 48 hours after the procedure, despite preventive measures, however none of them required renal replacement.


The frequency of contrast medium-induced nephropathy in patients with high risk factors was lower than that reported in the literature; this may correspond to that in all cases nephrology assessment was performed before the procedure.


Acute kidney injury; Contrast nephropathy; Coronary angiography

[Indexed for MEDLINE]

Supplemental Content

Loading ...
Support Center