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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 77 - 85 (9page)
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초록· 키워드
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Contrast-associated acute kidney injury (CA-AKI) is a major concern when iodinated contrast material is administered, especially in patients at risk. Efforts have been undertaken to understand the detrimental effects of contrast media (CM). With the use of low-osmolar or iso-osmolar CM the incidence of CA-AKI has steadily decreased within the past decade; however, especially in the pediatric population information is scarce. Incidence rates have been reported to range between 0% to 18.75%, particularly depending on indication, selection of population (i.e. preexisting co-morbidities), and definition of AKI. Different biomarkers have been proposed, but confirmatory studies are either lacking or have contributed to their lack of diagnostic power. Proteomic approaches have been employed and may pave the way to such discovery. Prevention strategies have been tested and proposed, but the recently published AMACING and PRESERVE trials have shown that commonly used strategies (such as systematic hydration or administration of N-acetylcysteine) have no role in the prevention of CA-AKI. We propose that thoughtful assessment of one’s fluid state is the most appropriate approach and depending on the hydration status diuretics or fluid administration should be provided to achieve an euvolemic state ahead of contrast exposure.
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등록된 정보가 없습니다.
참고문헌 (52)
참고문헌 신청
Goldstein SL / 2012 / Acute kidney injury in children and its potential consequences in adulthood / Blood Purif 33:131~137
Katzberg RW / 2006 / Contrast-induced nephrotoxicity: clinical landscape / Kidney Int (Suppl):S3~7
Tandukar S / 2019 / Intravascular Iodinated Contrast Is an Independent Cause of Acute Kidney Injury Following Coronary Angiography / South Med J 112:541~546
Windpessl M / 2018 / Pro: Contrast-induced nephropathyshould we try to avoid contrast media in patients with chronic kidney disease? / Nephrol Dial Transplant :331317~331319
Ewing MJ / 2018 / Con : Contrast-induced nephropathy-should we try to avoid contrast media in patients with chronic kidney disease / Nephrol Dial Transplant 33:1320~1322
Katzberg RW / 2006 / Contrast-induced nephrotoxicity: clinical landscape / Kidney Int (Suppl):S3~7
Tandukar S / 2019 / Intravascular Iodinated Contrast Is an Independent Cause of Acute Kidney Injury Following Coronary Angiography / South Med J 112:541~546
Windpessl M / 2018 / Pro: Contrast-induced nephropathyshould we try to avoid contrast media in patients with chronic kidney disease? / Nephrol Dial Transplant :331317~331319
Ewing MJ / 2018 / Con : Contrast-induced nephropathy-should we try to avoid contrast media in patients with chronic kidney disease / Nephrol Dial Transplant 33:1320~1322
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