Prevention Strategies of Contrast Medium Induced Nephropathy (CIN): A Review of the Current Literature

The Technique and Advantages of Contrast-Enhanced Ultrasound in the Diagnosis and Follow-Up of Traumatic Abdomen Solid Organ Injuries

“…There is no need for blood tests before UCA injection as the agent is not excreted by the kidneys, rather through the lungs during breathing. Therefore, renal insufficiency is not a contraindication for UCA injection as there is no risk of contrast-related nephropathy or nephrogenic systemic fibrosis associated with their use [ 4 , 27 ]. Furthermore, there is no evidence of any effect on thyroid function because UCAs do not contain iodine.…”

“…Its use is crucial in the initial assessment of polytraumatized patients to determine whether a surgical, interventional, or non-operative treatment approach is best [ 1 , 2 , 3 ]. Given the need to reduce exposure to ionizing radiation and to consider the risk of contrast-induced nephropathy, the appropriate selection of trauma patients for MDCT is becoming more critical [ 4 , 5 ]. Furthermore, in recent years a more conservative approach for traumatic injuries of parenchymatous organs has been encouraged; at present, non-operative management is considered the standard treatment [ 6 , 7 ].…”

The Technique and Advantages of Contrast-Enhanced Ultrasound in the Diagnosis and Follow-up of Traumatic Abdomen Solid Organ Injuries

“…There is no need for blood tests prior to UCA injection as the agent is not excreted by the kidneys, rather through the lungs during breathing. Therefore, renal insufficiency is not a contraindication for UCA injection as there is no risk of contrast-related nephropathy or nephrogenic systemic fibrosis associated with their use [2,12]. Furthermore, there is no evidence of any effect on thyroid function as UCAs do not contain iodine.…”

“…Its use is crucial in the initial assessment of polytraumatized patients to determine whether a surgical, interventional, or non-operative treatment approach is best [1]. Given the need to reduce exposure to ionizing radiation and consider the risk of contrast-induced nephropathy associated with multiple administrations of iodinated contrast medium or single administrations in patients with renal insufficiency, the appropriate selection of trauma patients for MDCT is becoming more critical [2]. Furthermore, in recent years a more conservative approach for traumatic injuries of parenchymatous organs has been encouraged; at present, non-operative management is considered the standard treatment [3,4].…”

Οξεία Νεφρική Βλάβη Μετά Από Καρδιοχειρουργική Επέμβαση

“…Αν και δεν υφίσταται σύσταση για συγκεκριμένο ρυθμό ενυδάτωσης, θεωρείται ενδεδειγμένο το σχήμα: 1-1.5 ml/kg/h για 3-12 h προ και 6-12 h μετά χορήγηση σκιαγραφικού. Παρά κάποια ευρήματα μελετών, δεν έχει τεκμηριωθεί ούτε η υπεροχή διαλύματος διττανθρακικού νατρίου ούτε η ενυδάτωση από του στόματος [5,161,[169][170][171]. Ανάλογα με το GFR οι ασθενείς μπορούν να διακριθούν σε χαμηλού, μέσου και υψηλού κινδύνου για χορήγηση σκιαγραφικού, με προσαρμογή ενισχυμένου σχήματος ενυδάτωσης ανάλογα με τη βαρύτητα του κινδύνου [172,173].…”