Nephropathy induced by contrast medium in an hispanic population after coronary angiography
González Moreno, J.é; Ferder, L.; Gómez, J.é; Bredy DomÃnguez, R.; Juarbe, R.; Calisto, C.; Alemán Ortiz, J.
Boletin de la Asociacion Medica de Puerto Rico 104(2): 30-33
2012
ISSN/ISBN: 0004-4849 PMID: 23882971 Document Number: 702519
Contrast medium-induced nephropathy (CIN) is regarded as one of the most important complications after intravascular administration of radiographic contrast media and the third most common cause of hospital-acquired acute kidney injury. Contrast-induced nephropathy may develop in up to10% of patient with normal renal function but may be as high 25% in patient with risk factors. A total of 192 medical records were obtained, in which 55 patient were eligible by our inclusion and exclusion criteria. A total four cases of CIN (7%) was identified and all were considered high-risk patients. In the patients that developed CIN only 50% received preventive IV hydration therapy in accordance to guidelines of the Contrast-Induced Nephropathy Consensus Panel. In 51 cases CIN was absent (93%). In the absent CIN group 22 were considered high-risk patients (43%) and 29 patients were low risk (57%). In the high-risk group with absent CIN, 77% received preventive IV hydration. Study didn't show diabetes as a direct contributory factor for CIN development, but glycemia was not properly stratified. Screening and preventive strategies were not diligently complied in our institution, so there is a great need to incorporate a protocol in our institution in accordance to published guidelines.