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Dtsch. Med. Wochenschr. · Nov 2021
[Contrast media use in kidney disease - clinical practice recommendations].
- Ulrich Pein, Annekathrin Fritz, Silke Markau, Walter A Wohlgemuth, and Matthias Girndt.
- Universitätsklinik und Poliklinik für Innere Medizin II, Universitätsklinikum Halle (Saale).
- Dtsch. Med. Wochenschr. 2021 Nov 1; 146 (22): 1489-1495.
AbstractContrast media use in patients with renal disease regularly ensures discussions in everyday clinical practice. Both X-ray and MRI contrast media are predominantly eliminated by the kidneys and therefore closely linked to kidney function. Risk stratification prior to contrast media use in patients with pre-existing renal dysfunction should be based on eGFR-determination. Patients with an eGFR ≥ 30 ml/min require an individual risk assessment. In patients with advanced renal insufficiency ensuring euvolemia is crucial. Currently, there is no evidence for any other preventive approach. Therefore, no further specific procedures preventing contrast-associated kidney injury are recommended. Timing of contrast media injection and dialysis sessions in patients with end stage renal disease is necessary only after MRI contrast media use. Independently, acute kidney injury requires a patient individual decision.Thieme. All rights reserved.
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