Abstract Archives of the RSNA, 2014
URE152
Contrast-induced Nephropathy: Identifying the Risks and Reviewing Effective Prevention and Management Methods
Education Exhibits
Presented in 2014
Khalid Walid Shaqdan MD, Presenter: Nothing to Disclose
Shima Aran MD, Abstract Co-Author: Nothing to Disclose
Elmira Hassanzadeh MD, Abstract Co-Author: Nothing to Disclose
Hani H. Abujudeh MD, MBA, Abstract Co-Author: Research Grant, Bracco Group
Consultant, RCG HealthCare Consulting
Author, Oxford University Press
• Contrast induced nephropathy (CIN) is associated with high risk of in-hospital and 1-year mortality
• A survey found that less than half of physicians were aware of potential risk factors
• Therefore, identifying patients at risk and taking appropriate measures are key in the prevention of contrast induced nephropathy.
• The aim of this exhibit is to enhance the radiologists understanding of CIN through a literature review of the most recent guidelines and other sources
• Background/literature review
o Contrast-induced nephropathy (CIN)
Definition
Incidence and pathogenesis
Clinical features
Most recent CIN guidelines according to:
• American College of Radiology
• Canadian Association of Radiologist
• Identifying the predisposing risk factors
o Underlying health issues
o Renal function markers
o CIN Risk scoring system
• Choice of contrast agent
o Ionic and nonionic agents
o Meta-analysis of benefits
• Treatment and preventative strategies
o Protecting renal function
o Fluid Loading
o Medications
N-acetylcysteine
Calcium Channel blockers
Theophylline
Other
o Special considerations
• Recent clinical research
o Unique formulation Deferiprone
o Renal Guard system
• Addressing controversial issues
http://abstract.rsna.org/uploads/2014/14007418/14007418_oeea.pdf
Shaqdan, K,
Aran, S,
Hassanzadeh, E,
Abujudeh, H,
Contrast-induced Nephropathy: Identifying the Risks and Reviewing Effective Prevention and Management Methods. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14007418.html