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Evaluation of the nephrotoxicity of iodixanol in patients with predisposing factors to contrast medium induced nephropathy referred for contrast enhanced computed tomography.

Evaluation of the nephrotoxicity of iodixanol in patients with predisposing factors to contrast medium induced nephropathy referred for contrast enhanced computed tomography. Research Abstract Details 

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  • Evaluation of the nephrotoxicity of iodixanol in patients with predisposing factors to contrast medium induced nephropathy referred for contrast enhanced computed tomography. Abstract Text:

    joern j w sandstedeJoern J W Sandstede,anne rothAnne Roth,wolfram machannWolfram Machann,christine kaupertChristine Kaupert,dietbert hahnDietbert Hahn,joern j w sandstedeJoern J W Sandstede,anne rothAnne Roth,wolfram machannWolfram Machann,christine kaupertChristine Kaupert,dietbert hahnDietbert Hahn,

    To determine the risk of developing contrast induced nephropathy (CIN) in intermediate-risk patients receiving iodixanol, an iso-osmolar, dimeric non-ionic contrast agent, for CT in a clinical setting. Hundred consecutive patients referred for a contrast enhanced CT with a serum creatinine concentration>1.1mg/dl and/or a glomerular filtration rate (GFR)<90ml/min were included. Exclusion criteria were a serum creatinine>2.0mg/dl and a GFR<30ml/min or concurrent nephrotoxic agents. Between 60 and 140ml (mean 97+/-42ml) iodixanol (320mgI/ml) were administered at a flow of 2.5-3ml/s. Hydration with 500ml NaCl i.v. was performed before and after contrast injection. Follow-up was completed in 99 patients (age, 64+/-13 years, 68 men). CIN was defined as increase in serum creatinine concentration +0.5mg/dl or >25% above baseline within 72h after contrast administration. Serum creatinine concentration and GFR were 1.40+/-0.22, 1.29+/-0.29, and 1.26+/-0.29mg/dl and 52.2+/-13.9, 51.3+/-21.1, and 51.5+/-15.1ml/min on days 0, 3, and 7, respectively. Three out of 99 (3%) patients who received 90-110ml iodixanol revealed a CIN on day 3 without persistence on day 7. No specific therapy was needed. One out of 99 patients reported an exanthema on days 3 and 7. With the use of iodixanol in intermediate-risk patients, 3% of the patients develop CIN on day 3 without need for a specific therapy or persistence on day 7.

    Evaluation of the nephrotoxicity of iodixanol in patients with predisposing factors to contrast medium induced nephropathy referred for contrast enhanced computed tomography. Publishing Authors By Initials

    jj sandstedeJJ Sandstede,a rothA Roth,w machannW Machann,c kaupertC Kaupert,d hahnD Hahn,jj sandstedeJJ Sandstede,a rothA Roth,w machannW Machann,c kaupertC Kaupert,d hahnD Hahn,

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    Evaluation of the nephrotoxicity of iodixanol in patients with predisposing factors to contrast medium induced nephropathy referred for contrast enhanced computed tomography. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: European journal of radiology

    VOLUME: 63

    Page Numbers: 120-3

    Journal Abbreviation:

    ISSN: 0720-048X

    DAY: 21

    MONTH: 02

    YEAR: 2007

    Evaluation of the nephrotoxicity of iodixanol in patients with predisposing factors to contrast medium induced nephropathy referred for contrast enhanced computed tomography. Information

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    LANGUAGE: eng

    NlmUniqueID: 8106411

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    Grant and Affiliation Information for Evaluation of the nephrotoxicity of iodixanol in patients with predisposing factors to contrast medium induced nephropathy referred for contrast enhanced computed tomography.

    AFFILIATION: Department of Radiology, University of Wuerzburg, Josef-Schneider-Strasse 2, D-97080 Wuerzburg, Germany. sandstede@web.de

    Country: Ireland

    Ireland Research PublicationIreland Research Publication

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    MEDLINETA: Eur J Radiol

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