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Abdom Radiol (NY). 2016 Jun;41(6):1108-21. doi: 10.1007/s00261-016-0709-8.

Imaging patients with renal impairment.

Author information

1
Department of Radiology and Biomedical Imaging, Yale School of Medicine, 333 Cedar Street, Room TE-2, PO Box 208042, New Haven, CT, 06520, USA. mahan.mathur@gmail.com.
2
Department of Radiology and Biomedical Imaging, Yale School of Medicine, 333 Cedar Street, Room TE-2, PO Box 208042, New Haven, CT, 06520, USA.

Abstract

Imaging with intravascular contrast media is generally considered safe, particularly in patients without renal failure. However, as renal function deteriorates, the potential risk of nonallergic-type adverse events increases. This presents a unique challenge, particularly when the use of intravenous contrast media is deemed essential for diagnostic purposes. Following a discussion regarding the definition and epidemiology of kidney injury, this review focuses on the evolving understanding of both contrast-induced nephropathy and nephrogenic systemic fibrosis and discusses preventative strategies aimed at minimizing the risk of developing these entities. Alternative non-contrast imaging techniques are also discussed.

KEYWORDS:

Contrast; Contrast media; Contrast-induced nephropathy; Nephrogenic systemic fibrosis; Renal failure

PMID:
27015867
DOI:
10.1007/s00261-016-0709-8
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