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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 26 - 30 (5page)
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Newborn infants with huge and highly vascular sacrococcygeal teratoma (SCT) are frequently subjected to renal hypoperfusion secondary to high-output cardiac failure. Any underlying renal dysfunction is a significant risk factor for the development of contrast-induced nephropathy (CIN). However, reports on CIN in infants are rare. I report here a case of a premature infant born at 28 weeks and 3 days of gestation with a huge SCT who survived preoperative embolization and surgical resection but presented with persistent non-oliguric renal failure that was suggestive of CIN. During radiological intervention, a contrast medium had been administered at about 10 times the manufacturer-recommended dose for pediatric patients. Despite hemodynamic stabilization and normalization of urine output immediately following surgery, the patient’s serum creatinine and cystatin-C levels did not return to baseline until 4 months after birth. No signs of reflux nephropathy were observed in follow-up imaging studies. Dosing guidelines for the use of a contrast medium in radiological interventions should be provided for infants or young patients.
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참고문헌 (15)
참고문헌 신청
/ / VISIPAQUE (iodixanol) Injection
Cataldi L / 2005 / Potential risk factors for the development of acute renal failure in preterm newborn infants: a case-control study / Arch Dis Child Fetal Neonatal Ed 90 :
Cigarroa RG / 1989 / Dosing of contrast material to prevent contrast nephropathy in patients with renal disease / Am J Med 86 : 649 ~ 652
Cowles RA / 2006 / Preoperative angiography with embolization and radiofrequency ablation as novel adjuncts to safe surgical resection of a large, vascular sacrococcygeal ter
Ding J / 2010 / Percutaneous laser photocoagulation of tumour vessels for the treatment of a rapidly growing sacrococcygeal teratoma in an extremely premature fetus / J Mater
Cataldi L / 2005 / Potential risk factors for the development of acute renal failure in preterm newborn infants: a case-control study / Arch Dis Child Fetal Neonatal Ed 90 :
Cigarroa RG / 1989 / Dosing of contrast material to prevent contrast nephropathy in patients with renal disease / Am J Med 86 : 649 ~ 652
Cowles RA / 2006 / Preoperative angiography with embolization and radiofrequency ablation as novel adjuncts to safe surgical resection of a large, vascular sacrococcygeal ter
Ding J / 2010 / Percutaneous laser photocoagulation of tumour vessels for the treatment of a rapidly growing sacrococcygeal teratoma in an extremely premature fetus / J Mater
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