Contrast-induced acute kidney injury (lecture demonstrating a clinical observation)

Authors

  • M.V. Bondar Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine
  • Т.V. Ovsienko Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine
  • A.M. Bondar Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine
  • T.K. Sahno Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine
  • E.V. Polischuk Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine

DOI:

https://doi.org/10.22141/2224-0586.16.4.2020.207930

Keywords:

computer tomography with contrast, magnetic resonance tomography with contrast, urography, angiography, coronarography, radiopaque iodine-containing drugs for intravenous administration, contrast-induced acute kidney injury, acute kidney failure, renal tubule epithelium, glomerular filtration rate

Abstract

The clinical lecture provides information on the frequency of contrast-induced acute kidney injury (CI-AKI) after intravascular administration of iodine-containing radiopaque drugs (RCD). All modern RCDs for intravascular administration and their physical and chemical properties are listed. The article presents modern diagnostic criteria of CI-AKI, identifies risk factors for the development of CI-AKI, describes in detail the possible mechanisms of nephrotoxicity of iodine-containing RCD, considers the main and additional measures to prevent the occurrence of CI-AKI, lists the medications not recommended for the prevention and treatment of CI-AKI. At the end of the lecture, a clinical case of the late diagnosis and treatment of CI-AKI after an MRT of the brain using intravenous contrast is presented.

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References

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Guoli Sun, Ji-yan Chen, Yong Liu Contrast-Induced Nephropathy: Further Investigetion About Risk Factors. Angilogy. 2019. 1–2. Article reuse guidelines: sagepub. com/journals-permissions.

Junseok Jeon, Suhyun Kim, HeeJinYoo et al. Risk Prediction for Contrast-Induced Nephropathy in Cancer Patients Undergoing Computer Tomography under Preventive Measures. Journal of Onco­logy. 2019. Article ID 8736163.

KDIGO Clinical Practice Guideline for Acute Kidney Injury. Kidney International supplements. 2012. 2(1).

Mehran R., Dangas G.D., Weisbord S.D. Contrast-Associated Acute Kidney Injury. N. Engl. J. Med. 2019. 380. 2146-55.

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Published

2021-09-30

How to Cite

Bondar, M., Ovsienko Т., Bondar, A., Sahno, T., & Polischuk, E. (2021). Contrast-induced acute kidney injury (lecture demonstrating a clinical observation). EMERGENCY MEDICINE, 16(4), 31–38. https://doi.org/10.22141/2224-0586.16.4.2020.207930

Issue

Section

Lecture

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