Safety of CO(2)- and gadodiamide-enhanced angiography for the evaluation and percutaneous treatment of renal artery stenosis in patients with chronic renal insufficiency

AJR. American Journal of Roentgenology
D J SpinosaK McConnell

Abstract

The objective of our study was to evaluate the safety of CO(2) and gadodiamide angiography for diagnosing and percutaneously treating renal artery stenosis in patients with chronic renal insufficiency and presumed ischemic nephropathy. One hundred forty-six consecutive patients with chronic renal insufficiency (serum creatinine > 1.5 mg/dL) were examined for renal artery stenosis using CO(2) and gadodiamide as the angiographic contrast agents. If renal artery stenosis was detected, percutaneous balloon angioplasty with or without stenting was performed. In patients for whom 48-hr creatinine levels were available, we performed an analysis to determine the incidence of contrast-involved nephropathy (increase in serum creatinine of 0.5 mg/dL at 48 hr without identifiable cause). Major complications were reported up to 1 week, and mortality was reported up to 30 days after the procedure. Ninety-five patients had serum creatinine levels available at 48 hr. An increase in creatinine of greater than 0.5 mg/dL at 48 hr occurred in three patients (3.2%), presumably caused by CO(2), by gadodiamide, or by both. Neither diabetes nor the degree of preexisting chronic renal insufficiency was a predictor of worsening renal function 48 hr afte...Continue Reading

References

Nov 1, 1992·Journal of Vascular and Interventional Radiology : JVIR·L G MartinS L Kaufman
Sep 1, 1992·Annals of Internal Medicine·A J SanyalP P Purdum
Nov 1, 1988·Kidney International·H R Jacobson
Aug 1, 1984·AJR. American Journal of Roentgenology·J G CaridiM C Hawkins
Oct 1, 1994·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·L U MaillouxR T Mossey
Oct 1, 1994·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·D E Strandness
Oct 1, 1994·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·I F HawkinsF W Sabatelli
Mar 1, 1994·RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin·H H SchildM Thelen
Nov 1, 1993·Investigative Radiology·S GoldfarbM R Rudnick
Jun 1, 1993·AJR. American Journal of Roentgenology·Y KinnoK Tarao
Jan 1, 1996·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·A J SanyalV A Luketic
Jan 1, 1996·Journal of Magnetic Resonance Imaging : JMRI·M R PrinceJ K Frisoli
May 1, 1997·Journal of Vascular and Interventional Radiology : JVIR·J G Caridi, I F Hawkins
Aug 1, 1997·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·J RiehlH G Sieberth
Feb 7, 1998·Kidney International·R Solomon
Mar 21, 1998·Kidney International·S C Textor
Jun 9, 1998·Journal of Vascular and Interventional Radiology : JVIR·J H RundbackK Horton
Jul 31, 1998·Journal of Vascular and Interventional Radiology : JVIR·J C Palmaz
Jul 31, 1998·Journal of Vascular and Interventional Radiology : JVIR·D J SpinosaT N Hooper
Nov 3, 1998·AJR. American Journal of Roentgenology·D J EschelmanG A Gardiner
Nov 3, 1998·AJR. American Journal of Roentgenology·J GemeryL Casserly
Mar 24, 1999·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·M HenryZ Chati
Apr 9, 1999·Journal of Vascular Surgery·J A Rodriguez-LopezE B Diethrich
Feb 25, 2000·Journal of Nephrology·P Zucchelli, A Zuccalà

❮ Previous
Next ❯

Citations

Dec 24, 2003·Seminars in Vascular Surgery·W Todd Bohannon, Michael B Silva
Dec 25, 2008·Circulation·Shellie C JosephsUNKNOWN American Heart Association Writing Group 3
Jul 25, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Kyran DowlingR Clement Darling
Feb 4, 2011·Annals of Vascular Surgery·Elliot B SambolK Craig Kent
Oct 2, 2002·Journal of Vascular and Interventional Radiology : JVIR·Melhem J SharafuddinWilliam J Lawton
Sep 5, 2006·The American Journal of Cardiology·Charles DavidsonUNKNOWN CIN Consensus Working Panel
Feb 10, 2009·Clinical Journal of the American Society of Nephrology : CJASN·Mark A Perazella
May 4, 2017·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Saad S GhummanAnand Prasad

❮ 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.