Gadolínio e fibrose nefrogênica sistêmica: o que todo médico deve saber

Leite, Cláudia da Costa

doi:10.1590/s0100-39842007000400001

Cited by 4 publications

(4 citation statements)

References 3 publications

(5 reference statements)

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“…The risk for development of the disease increases at each exposure to gadolinium. For this reason, the Food and Drug Administration recommends the calculation of the creatinine clearance in the patients previously to the gadolinium enhanced CMRI, and the indication of this examination for patients at risk only if strictly necessary, followed by dialysis, despite the absence of scientific evidence that dialysis prevents the onset of systemic nephrogenic fibrosis ( 24 ) .…”

Section: Discussionmentioning

confidence: 99%

Cardiac magnetic resonance imaging and computed tomography in ischemic cardiomyopathy: an update

Assunção

Oliveira

Souza³

et al. 2016

Radiol Bras

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Ischemic cardiomyopathy is one of the major health problems worldwide, representing a significant part of mortality in the general population nowadays. Cardiac magnetic resonance imaging (CMRI) and cardiac computed tomography (CCT) are noninvasive imaging methods that serve as useful tools in the diagnosis of coronary artery disease and may also help in screening individuals with risk factors for developing this illness. Technological developments of CMRI and CCT have contributed to the rise of several clinical indications of these imaging methods complementarily to other investigation methods, particularly in cases where they are inconclusive. In terms of accuracy, CMRI and CCT are similar to the other imaging methods, with few absolute contraindications and minimal risks of adverse side-effects. This fact strengthens these methods as powerful and safe tools in the management of patients. The present study is aimed at describing the role played by CMRI and CCT in the diagnosis of ischemic cardiomyopathies.

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Section: Discussionmentioning

confidence: 99%

Cardiac magnetic resonance imaging and computed tomography in ischemic cardiomyopathy: an update

Assunção

Oliveira

Souza³

et al. 2016

Radiol Bras

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“…Esse método utiliza uma sequência específica, realizada 10 a 20 minutos após a administração intravenosa de contraste a base de gadolíneo -metal paramagnético que aumenta a intensidade de sinal das estruturas nas imagens. 10 Entretanto, em paciente com IRC, o contraste com gadolíneo constitui-se numa contraindicação relativa para a realização do exame a fim de não expor o paciente ao potencial risco de desenvolvimento da fibrose nefrogênica sistêmica. 10 Na existência de comorbidades capazes de elevar troponina I sérica, o exame cintilográfico complementar foi de fundamental importância para definição de conduta diagnóstica e terapêutica.…”

Section: Discussionunclassified

Usefulness of Multimodality Imaging for Detection of Myocardial Infarction in Patients with Advanced Kidney Failure: Case Report

Veras¹,

Azevedo²,

Gamarski³

et al. 2016

Arquivos Brasileiros De Cardiologia - Imagem Cardiovascular

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“…In a previous editorial (1) I had already approached nephrogenic systemic fibrosis (NSF). At that time, there was considerable panic in relation to this new disease mainly because at that time current paradigm on the total safety of gadolinium as a contrast medium had been broken.…”

Section: Editorialmentioning

confidence: 99%