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“Contrast nephropathy” in renal transplantation:Is it real?

查看全文 作  者:Fedaey Mohammed [1,2]Abbas;Bridson M [2]Julie;Ajay [2,3]Sharma;Ahmed [2,4]Halawa 高影响力作者 机构地区:[1]Nephrology Department, Jaber El Ahmed Military Hospital;[2]Faculty of Health and Science, University of Liverpool, Institute of Learning and Teaching, School of Medicine;[3]Royal Liverpool University Hospital;[4]Sheffield Teaching Hospitals高影响力机构 出  处:《World Journal of Transplantation》索引2016年第6卷第4期,共7页高影响力期刊 摘  要:The risk of contrast-induced nephropathy(CIN) in renal transplant recipients is increased in diabetics, patients with impaired basal kidney function, patients in shock, patients presenting with acute emergency and in old age recipients. Approximately one-third of all hospitalized patients with acute kidney injury is attributed to CIN. In the United States, it is the third leading cause of hospital-acquired renal failure. Therefore, efforts should be directed to minimize CIN-related morbidity and mortality as well as to shorten hospital stay. While the role of peri-procedural prophylactic hydration with saline is unequivocal; the use of acetyl cysteine is not based on robust evidence. The utility of theophylline, aminophylline, calcium channel blockers, natriuretic peptide, and diuretics does not have proven role in attenuating CIN incidence. We aim to analyze the evidence for using various protocols in published literature to limit CIN-associated morbidity and mortality, particularly during surveillance of the renal allograft survival. 关 键 词:CONTRAST RENAL TRANSPLANTATION NEPHROPATHY
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