[Contrast media use in kidney disease - clinical practice recommendations]. / Kontrastmittelgabe bei Niereninsuffizienz praktische Handlungsempfehlungen.
Dtsch Med Wochenschr
; 146(22): 1489-1495, 2021 11.
Article
en De
| MEDLINE
| ID: mdl-34741294
Contrast media use in patients with renal disease regularly ensures discussions in everyday clinical practice. Both X-ray and MRI contrast media are predominantly eliminated by the kidneys and therefore closely linked to kidney function. Risk stratification prior to contrast media use in patients with pre-existing renal dysfunction should be based on eGFR-determination. Patients with an eGFRâ≥â30âml/min require an individual risk assessment. In patients with advanced renal insufficiency ensuring euvolemia is crucial. Currently, there is no evidence for any other preventive approach. Therefore, no further specific procedures preventing contrast-associated kidney injury are recommended. Timing of contrast media injection and dialysis sessions in patients with end stage renal disease is necessary only after MRI contrast media use. Independently, acute kidney injury requires a patient individual decision.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Medios de Contraste
/
Enfermedades Renales
Tipo de estudio:
Etiology_studies
/
Guideline
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
De
Revista:
Dtsch Med Wochenschr
Año:
2021
Tipo del documento:
Article
Pais de publicación:
Alemania