[Contrast-induced nephropathy: An update]

Ann Cardiol Angeiol (Paris). 2016 Apr;65(2):87-94. doi: 10.1016/j.ancard.2016.01.002. Epub 2016 Feb 28.
[Article in French]

Abstract

Contrast-induced nephropathy (CIN) is common in hospitalized patients. Its occurrence is associated with an increased hospitalization stay and cost, morbidity and mortality. Thus, preventives strategies remain a major issue. Patients that are referred for cardiac catheterization are among the most vulnerable to develop CIN due to their comorbidities. Moreover, in some cases, such preventives measures cannot be introduced due to emergent clinical settings. After a summary regarding the properties of iodinated contrast medium, the aim of this work was to review the definition, pathophysiology, diagnosis and preventive strategies related to CIN.

Keywords: Acute kidney injury; Cardiac catheterization; Cathétérisme cardiaque; Contrast media; Insuffisance rénale aiguë; Nephropathy; Néphropathie; Prevention; Produits de contraste iodés; Prévention.

Publication types

  • Review

MeSH terms

  • Acute Kidney Injury / chemically induced*
  • Acute Kidney Injury / diagnosis*
  • Acute Kidney Injury / epidemiology
  • Acute Kidney Injury / prevention & control
  • Biomarkers / blood
  • Canada / epidemiology
  • Contrast Media / administration & dosage
  • Contrast Media / adverse effects*
  • Coronary Angiography* / adverse effects
  • Creatinine / blood
  • Glomerular Filtration Rate
  • Humans
  • Length of Stay*
  • Risk Factors

Substances

  • Biomarkers
  • Contrast Media
  • Creatinine