Influence of Iodinated Contrast Volume Injected During Coronarography on Contrast Nephropathy.

Author(s):  
2013 ◽  
Vol 82 (6) ◽  
pp. 888-897 ◽  
Author(s):  
Sergio Raposeiras-Roubín ◽  
Emad Abu-Assi ◽  
Raymundo Ocaranza-Sánchez ◽  
Belén Álvarez-Álvarez ◽  
Cristina Cambeiro-González ◽  
...  

Vascular ◽  
2022 ◽  
pp. 170853812110682
Author(s):  
Eelin Wilson ◽  
Yoni Sacknovitz ◽  
Varun Dalmia ◽  
Omar Sanon ◽  
Ayesha Hatch ◽  
...  

Objective Previous studies have demonstrated that low contrast volume used in access-related interventions had limited effects on the progression of chronic kidney disease (CKD) after fistulography, but studies are limited and heterogeneous. We sought to evaluate the rate of and factors associated with progression to dialysis (HD) within 1 month after fistulography for patients with advanced CKD. Methods A single-institution retrospective cohort analysis of patients with CKD stage IV and V, not yet on HD, undergoing fistulography from 1 January 2014 to 31 December 2018 was performed. The primary outcome was progression to HD within 1 month. Additional variables and the association with the primary outcome such as medical comorbidities, contrast type or volume were assessed. Results A total of 34 patients underwent 41 fistulograms prior to HD initiation. Progression to HD within 1 month of fistulogram occurred in seven patients (all CKD V). The mean time between fistulogram and HD was 271 days for 31 of 34 patients who ultimately progressed to HD. Those with CKD IV began HD in 549 days on average, while those with CKD V began HD in 190 days on average. Three patients had not initiated HD at a mean of 539 days of follow-up. The only factors associated with progression to HD within 1 month included use of isovue ( p = .005) and elevated contrast volume, with a mean of 40 mL ( p = .027). Conclusion Although none of the patients with CKD IV required HD within 1 month after fistulogram, the use of larger iodinated contrast volume was associated with progression to HD within 1 month of fistulography for patients with CKD V. Further studies should investigate the safety of iodinated and alternative (e.g., carbon dioxide) contrast media in fistulography or duplex-based HD access procedures for CKD patients, especially CKD V, not yet on HD.


2019 ◽  
Vol 13 ◽  
Author(s):  
Manoela Junqueira Flaibam ◽  
Edna Valéria Silva

RESUMO:Objetivo: identificar a incidência de eventos adversos a meios de contraste iodados em pacientes submetidos à angioplastia coronária. Método: trata-se de um estudo quantitativo, descritivo, exploratório, prospectivo e observacional realizado com registros de um setor de Hemodinâmica. Entrevistaram-se 104 indivíduos, excluíram-se 36 após a análise de prontuários e incluíram-se 68. Compilaram-se os dados com Microsoft Excel e realizou-se a análise estatística descritiva, apresentando os resultados em tabelas. Resultados: identificaram-se três eventos adversos relacionados aos meios de contraste em três diferentes participantes, sendo dois do sexo masculino e um do sexo feminino, onde se utilizaram, respectivamente, 120, 130 e 450 mililitros de volume de contraste. Conclusão: constatou-se que a prevalência de 4,4% de eventos está em consonância com a literatura. Observou-se que não se relacionou fator causal principal e verificou-se que os eventos adversos constituem importantes indicadores da qualidade da assistência, sendo pertinente a sua prevenção. Descritores: Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos; Meios de Contraste; Radiologia Intervencionista; Enfermagem; Pesquisa em Enfermagem Clínica; Segurança do Paciente.ABSTRACTObjective: to identify the incidence of adverse events to iodinated contrast media in patients submitted to Coronary Angioplasty. Method: this is a quantitative, descriptive, exploratory, prospective and observational study carried out with records from the Hemodynamics sector. A total of 104 subjects were interviewed, 36 were excluded after chart analysis, and 68 were included. Data were compiled with Microsoft Excel and descriptive statistical analysis was performed, presenting the results in tables. Results: three adverse events related to contrast media were identified in three different participants: two males and one female, where 120, 130 and 450 milliliters of contrast volume were used, respectively. Conclusion: it was observed that the prevalence of 4.4% of events is in line with the literature. It was observed that the main causal factor was not related and it was verified that the adverse events are important indicators of the quality of the assistance, being pertinent its prevention. Descriptors: Drug-Related Side Effects and Adverse Reactions; Contrast Media; Radiology, Interventional; Clinical Nursing Research; Patient Safety.RESUMENObjetivo: identificar la incidencia de eventos adversos a medios de contraste yodados en pacientes sometidos a la angioplastia coronaria. Método: se trata de un estudio cuantitativo, descriptivo, exploratorio, prospectivo y observacional realizado con registros de un sector de Hemodinámica. Se entrevistaron 104 individuos, excluidos 36 después del análisis de prontuario y se incluyeron 68.  Los datos fueron seleccionados con Microsoft Excel y se realizó el análisis estadístico descriptivo presentando los resultados en tablas. Resultados: se identificaron tres eventos adversos relacionados con los medios de contraste en tres diferentes participantes, siendo dos del sexo masculino y un del sexo femenino donde se utilizó, respectivamente, 120, 130 y 450 mililitros de volumen de contraste. Conclusión: se constató que la prevalencia del 4,4% de eventos está en consonancia con la literatura. Se observó que no se relacionó factor causal principal y se verificó que los eventos adversos constituyen importantes indicadores de la calidad de la asistencia, siendo pertinente su prevención. Descriptores: Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos; Medios de Contraste; Radiología Intervencional; Investigación en Enfermería Clínica; Seguridad del Paciente.


2014 ◽  
Vol 83 (5) ◽  
pp. 741-745 ◽  
Author(s):  
David M. Kaye ◽  
Dion Stub ◽  
Vivian Mak ◽  
Tuan Doan ◽  
Stephen J. Duffy

2017 ◽  
pp. 118-129
Author(s):  
I. A. Kondrashov ◽  
V. Mandal

Iodine containing contrast media are used much frequently now-a-days for computed tomography examinations in children. The group of non-ionic monomers occupies a special place among modern contrast agents. Low osmolarity and viscosity, electrical neutrality and the highest iodine content of these contrast materials provide the best diagnostic efficacy with minimum risk of adverse reactions. However, characteristic anatomic and physiological aspects of a growing child’s body require additional attention and care during diagnostic procedures with use of such contrast agents. This article presents concise literature review of recent years highlighting practical aspects of nonionic lowosmolar iodinated contrast material use for computed tomography assisted diagnostic examinations in child population.


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