Contrast-induced acute kidney injury (lecture demonstrating a clinical observation)
DOI:
https://doi.org/10.22141/2224-0586.16.4.2020.207930Keywords:
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 rateAbstract
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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Copyright (c) 2020 M.V. Bondar, Т.V. Ovsienko, A.M. Bondar, T.K. Sahno, E.V. Polischuk
This work is licensed under a Creative Commons Attribution 4.0 International License.