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Kidney Int. 2017 Jul;92(1):4-6. doi: 10.1016/j.kint.2017.04.005. Epub 2017 May 18.

Prophylactic hydration to prevent contrast-induced nephropathy: much ado about nothing?

Author information

1
Department of Medicine, Division of Nephrology, Icahn School of Medicine at Mount Sinai, New York, USA. Electronic address: christina.wyatt@mssm.edu.
2
Department of Medicine, Division of Nephrology, Icahn School of Medicine at Mount Sinai, New York, USA.

Abstract

Clinical guidelines recommend prophylactic hydration to reduce the risk of contrast-induced nephropathy in high-risk patients, including those with chronic kidney disease. A recent single-center randomized trial showed no significant difference in the incidence of contrast-induced nephropathy in ambulatory patients with stage 3 chronic kidney disease who were randomized to no prophylactic hydration versus normal saline hydration. While these results may identify patients who are less likely to benefit from prophylactic hydration, nephrologists and interventionalists should carefully consider the generalizability of these results to individual patients.

PMID:
28528129
DOI:
10.1016/j.kint.2017.04.005
[Indexed for MEDLINE]

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