Prophylactic hemodialysis does not prevent contrast-induced nephropathy after cardiac catheterization in patients with chronic renal insufficiency

Circulation Journal : Official Journal of the Japanese Circulation Society
Shuji KawashimaTeruo Takano

Abstract

In Japan, prophylactic hemodialysis has been considered useful for preventing contrast-induced nephropathy (CIN). To assess whether hemodialysis prevented CIN, 391 patients (age: 69 +/- 8 years, 63 females) with chronic renal insufficiency (CRI, serum creatinine level (Scr) > or = 1.3 mg/dl) who underwent cardiac catheterization, were retrospectively analyzed. Patients were divided into 3 categories based on Scr: L (1.3 > or = Scr < 2.0 mg/dl, n = 332); M (2.0 > or = Scr < 3.0 mg/dl, n = 49); and H (Scr > or = 3.0 mg/dl, n = 10). To prevent CIN, 35 category M patients and all category L patients received hydration alone, whereas 14 category M patients and all category H patients received hemodialysis. CIN developed in 48 patients. The incidence of CIN in category H was significantly higher than that in category L or M (H, 40% vs L, 11% or M, 16% (p < 0.05)). In category M patients treated with hemodialysis, Scr increased from 2.4 +/- 0.3 to 3.0 +/- 0.5 mg/dl (p < 0.05) within 7 days, and 29% of patients developed CIN. However, in category M patients who did not receive hemodialysis, the Scr did not change (pre, 2.3 +/- 0.2 mg/dl to post, 2.2 +/- 0.4 mg/dl), and the incidence of CIN was 11%. Prophylactic hemodialysis for CRI pat...Continue Reading

References

Jan 1, 1976·Nephron·D W Cockcroft, M H Gault
Mar 24, 1998·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·T LehnertP Schollmeyer
Mar 10, 2001·Deutsche medizinische Wochenschrift·E D BergerC M Erley
Jun 28, 2001·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·R SchindlerU Frei
Nov 20, 2002·European Radiology·Sameh K MorcosUNKNOWN Contrast Media Safety Committee of the European Society of Urogenital Radiology (ESUR)
Dec 4, 2002·Therapeutic Apheresis : Official Journal of the International Society for Apheresis and the Japanese Society for Apheresis·Toshio ShinodaAkihiro Niwa
Apr 19, 2003·Journal of Internal Medicine·J C VerhaveP E de Jong
Oct 3, 2003·The New England Journal of Medicine·Giancarlo MarenziAntonio L Bartorelli
Apr 15, 2004·Clinical Radiology·S K Morcos
Oct 2, 2004·Circulation Journal : Official Journal of the Japanese Circulation Society·Shinichi FuruichiTakashi Shindo
Nov 3, 2004·Journal of the American College of Cardiology·Micha MaederHans Rickli
Feb 12, 2005·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Henrik S Thomsen
Mar 16, 2005·American Journal of Therapeutics·Arif AsifDavid Roth
Mar 26, 2005·Circulation Journal : Official Journal of the Japanese Circulation Society·Keika OseHiroaki Matsubara
Jun 3, 2005·Clinical Medicine & Research·Shereif H Rezkalla

❮ Previous
Next ❯

Citations

Aug 30, 2008·Circulation Journal : Official Journal of the Japanese Circulation Society·Daisuke UtsunomiyaYasuyuki Yamashita
Jun 18, 2009·Circulation Journal : Official Journal of the Japanese Circulation Society·Mitsuru AbeToru Kita
Jan 30, 2014·Cardiovascular Intervention and Therapeutics·Nobuhiko OgataSatoru Sumitsuji
Mar 1, 2012·Kidney International Supplements
Dec 27, 2011·The American Journal of Medicine·Dinna N CruzMark A Perazella
Aug 2, 2007·Journal of Cardiovascular Medicine·Carlo GuastoniMarco D'Amico
Aug 9, 2017·Journal of Computer Assisted Tomography·Yuyang ZhangDairong Cao
Sep 25, 2017·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Thorsten FeldkampMark Luedde
Nov 22, 2020·The Journal of Thoracic and Cardiovascular Surgery·Sana Waheed, Michael J Choi

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.