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Prevention of contrast nephropathy associated with angiography

Author
Michael R Rudnick, MD
Section Editor
Paul M Palevsky, MD
Deputy Editor
Alice M Sheridan, MD

INTRODUCTION

The administration of radiocontrast media may lead to acute kidney injury (AKI) [1-11]. AKI is reversible in most cases, but its development may be associated with adverse outcomes [12].

The risk of contrast nephropathy is much higher with procedures involving the arterial administration compared with venous administration of contrast.

This topic provides recommendations for the prevention of contrast nephropathy from arterial contrast administration.

The pathogenesis, clinical features, and diagnosis of contrast-induced nephropathy are discussed separately. (See "Pathogenesis, clinical features, and diagnosis of contrast-induced nephropathy".)

AKI and subacute kidney injury from other causes are discussed elsewhere. (See "Evaluation of acute kidney injury among hospitalized adult patients" and "Diagnostic approach to adult patients with subacute kidney injury in an outpatient setting" and "Etiology and diagnosis of prerenal disease and acute tubular necrosis in acute kidney injury in adults".)

                            

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Literature review current through: Jul 2017. | This topic last updated: Jun 15, 2017.
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