scholarly journals Curriculum for the Management of Contrast Media Reactions, Contrast Induced Nephropathy & Nephrogenic Systemic Fibrosis

MedEdPORTAL ◽  
2013 ◽  
Author(s):  
Puneet Bhargava ◽  
Adeel Seyal ◽  
Chandana Lall ◽  
Mariam Moshiri ◽  
Jennifer Schopp ◽  
...  
Keyword(s):  
Contrast Media ◽  
Nephrogenic Systemic Fibrosis ◽  
Contrast Induced Nephropathy

scholarly journals Nephrogenic systemic fibrosis (NSF) and gadolinium-based contrast media

2013 ◽  
Vol 17 (3) ◽  
pp. 106
Author(s):  
P S Ngoya ◽  
Z Vawda ◽  
J W Lotz
Keyword(s):  
Contrast Media ◽  
Nephrogenic Systemic Fibrosis

scholarly journals Comparison of the 3D-IR - BTFE method and the conventional method in the head MRI contrast

2017 ◽  
Author(s):  
Daisuke Hirahara
Keyword(s):  
Contrast Media ◽  
Conventional Method ◽  
Side Effect ◽  
Nephrogenic Systemic Fibrosis ◽  
Suitable Method ◽  
Imaging Method ◽  
Gadolinium Contrast ◽  
Mri Contrast ◽  
Highly Effective ◽  
The Brain

AbstractMRI using gadolinium contrast media is useful in diagnosis; however, nephrogenic systemic fibrosis is a serious side effect of gadolinium exposure. Moreover, it turns out that gadolinium deposits in the brain. This has escalated the necessity for a suitable method to use gadolinium contrast media. I developed a new imaging method that had excellent contrast. This study examined the usefulness of that new imaging method and found the method is highly effective.

PP162 Use Of The RenalGuard® System To Prevent Contrast-Induced Nephropathy

2021 ◽  
Vol 37 (S1) ◽  
pp. 23-23
Author(s):  
Perizat Bektassova ◽  
Valeriy Benberin ◽  
Andrey Avdeyev ◽  
Nasrulla Shanazarov ◽  
Ruslan Akhmedullin ◽  
...  
Keyword(s):  
Contrast Media ◽  
Hospital Setting ◽  
Kidney Injury ◽  
Contrast Induced Nephropathy ◽  
Management Guidelines ◽  
Forced Diuresis ◽  
Risk Patients ◽  
Intravenous Hydration ◽  
Clinical Advantage ◽  
Meta Analyses

IntroductionContrast-induced nephropathy (CIN) is a common cause of hospital-acquired acute kidney injury (AKI) following the administration of contrast media for coronary interventions or procedures such as diagnostic coronary angiography. The optimal way of preventing CIN remains uncertain. However, preliminary intravenous hydration, minimizing the volume of contrast media, and avoiding the use of nephrotoxic drugs are recommended in current management guidelines. The aim of this analysis was to compare the RenalGuard® system with standard care.MethodsA comprehensive literature search was conducted in PubMed and Google Scholar to identify evidence on the clinical and economic effectiveness of forced diuresis with matched hydration using the RenalGuard system for preventing CIN. Multiple criteria decision analysis (MCDA) was used to assess the performance of the method in hospital settings, compared with alternative options.ResultsSeveral systematic reviews with meta-analyses demonstrated that forced diuresis with matched hydration using the RenalGuard system was associated with a significantly lower relative risk of CIN among high-risk patients with chronic kidney disease. However, the evidence supporting the advantage of the proposed method over current forced diuresis techniques with manual calculation of the volumes for matched hydration in the hospital setting was limited.ConclusionsAlthough the effectiveness of the RenalGuard system has been demonstrated in meta-analyses, its clinical advantage over forced diuresis with manual hydration calculation is uncertain. It is also worth noting the lack of evidence to date on this technology, the fact that it is still at the research stage in some countries, and that it is not included in CIN management guidelines.

scholarly journals Radiologic Contrast Media Desensitization for Delayed Cardiac Catheterization

2019 ◽  
Vol 10 ◽  
pp. 215265671989284 ◽  
Author(s):  
Neha Sanan ◽  
Marija Rowane ◽  
Robert Hostoffer
Keyword(s):  
High Risk ◽  
Contrast Media ◽  
Cardiac Catheterization ◽  
Contrast Material ◽  
Preventative Measure ◽  
Contrast Induced Nephropathy ◽  
Radiographic Contrast ◽  
Radiographic Contrast Material ◽  
Medical Emergencies ◽  
Anaphylactoid Reactions

This protocol for rapid desensitization to intravenous radiographic contrast material (RCM) improves the strategy first reported by Uppal et al. Desensitization is a validated preventative measure for medical emergencies, such as cardiac catheterization, when patients present with histories of anaphylactoid reactions to the allergen of concern. The patient required another catheterization that was modified to repeat the final dosage of 320 mg/mL of Visipaque®, accommodating cardiac catheterization postponement, contrary to readministration of doses 4 (0.625 mg/mL) and 8 (10 mg/mL) as reported in Uppal et al. Our risk score calculations suggested that the patient was at low risk of contrast-induced nephropathy (CIN) that did not necessitate reduced dosage. No complications were reported following catheterization. We propose repetition of the final RCM dosage as a more effective and efficient desensitization strategy, as long as the scoring system does not indicate high risk for CIN.

scholarly journals Nephrogenic systemic fibrosis (NSF) and gadolinium-based contrast media

2013 ◽  
Vol 17 (3) ◽  
pp. 106-107
Author(s):  
P.S. Ngoya ◽  
Z Vawda ◽  
J.W Lotz
Keyword(s):  
Renal Failure ◽  
Contrast Media ◽  
Contrast Agents ◽  
Nephrogenic Systemic Fibrosis ◽  
Overwhelming Majority ◽  
Tissue Fibrosis ◽  
Systemic Disorder ◽  
High Doses

Nephrogenic systemic fibrosis (NSF), unknown before March 1997 and first described in 2000, is a systemic disorder characterised by widespread tissue fibrosis. The first known case occurred in 1997, after the use of gadolinium-based contrast agents (GBCAs) at high doses in patients with renal failure had become routine. An overwhelming majority occurred within weeks to months after injection of a GBCA. This note comprises guidelines on the prevention of NSF.

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