We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Nierenfunktion bei kontrastmittelverstärkter Bildgebung.
- Authors
Jahn, M.; Becker, S.; Kribben, A.
- Abstract
Background: The potential adverse reactions to contrast media-enhanced imaging regularly offer challenges in decision-making for nephrologists and radiologists. Objective: The clinical pictures of contrast media-induced acute kidney injury (CI-AKI) and nephrogenic systemic fibrosis (NSF) were evaluated, which are both caused by contrast media and closely linked to the kidney function. Material and methods: The literature in PubMed and Medline was searched for the terms "kidney function" and "contrast media" and complemented by our own experiences. Results: While there is an ongoing re-evaluation of the clinical relevance of CI-AKI, no new cases of NSF have recently been reported under consideration of certain preventive interventions and very restricted use of gadolinium-based contrast agents. Conclusion: Considering the results of the latest clinical research, the potential risk of CI-AKI has been overestimated for a long time and should no longer outweigh the diagnostic benefit of contrast media-enhanced imaging. Nevertheless, the most effective prophylaxis for CI-AKI is the avoidance of unnecessary administration of contrast media.
- Publication
Der Radiologe, 2019, Vol 59, Issue 5, p425
- ISSN
0033-832X
- Publication type
Article
- DOI
10.1007/s00117-019-0529-2