Small dose contrast venography as venous mapping in predialysis patients

The Journal of Vascular Access
Yoo Dong WonYoung Ok Kim

Abstract

This study was designed to evaluate radiocontrast-induced nephrotoxicity (RIN), and the image quality and findings of venography using small doses of radiocontrast as a venous mapping method in pre-dialysis patients. Twenty-eight patients with stage 4 and 5 chronic kidney disease underwent arm venography with 10-15 ml of dilute contrast medium. Image quality, venographic findings and glomerular filtration rate (GFR) before and after the procedure were evaluated. Mean GFR was 19.3+/-5.8 ml/min/1.73 m2 (7-30 ml/min/1.73 m2). Image quality of venography in the forearm and upper arm veins was good in all patients. Central veins were visualized well in 26 (92.8%) patients. Eight (28.5%) patients showed cephalic veins inadequate for creation of radiocephalic arteriovenous fistula (AVF) because of occlusion or small diameter veins. There was no significant difference in GFR between the pre- and post-study (19.3+/-5.8 vs. 19.2+/-6.2 ml/min/1.73 m2, p=0.693). RIN developed (GFR: 17 to 13 ml/min/1.73 m2) in only one patient but without sequelae, and the GFR completely recovered to baseline level 7 days after the study. Small dose venography is safe and effective for venous mapping in pre-dialysis patients.

References

Dec 31, 1997·The American Journal of Medicine·P A McCulloughW W O'Neill
Sep 30, 2000·Radiology·M L RobbinM Allon
Apr 4, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·L GrubergM B Leon
Sep 10, 2002·Journal of Vascular Surgery·Robert R MendesSteven J Burnham
Jan 29, 2003·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Young Ok KimByung Kee Bang
Jun 7, 2005·Seminars in Dialysis·Arif AsifOliver Lenz
Oct 14, 2005·Kidney International·Carlo BriguoriBruno Ricciardelli
Apr 14, 2006·Kidney International. Supplement·R Mehran, E Nikolsky
Aug 25, 2006·Radiology·Sam HeyeGuy J Marchal
Feb 3, 2007·Radiology·Elizabeth A SadowskiArjang Djamali
Jul 1, 2008·Journal of Vascular and Interventional Radiology : JVIR·Kristen HylandScott O Trerotola

❮ Previous
Next ❯

Citations

Apr 7, 2017·Seminars in Dialysis·Vandana Dua Niyyar, Haimanot Wasse
Oct 14, 2017·The Journal of Vascular Access·Gaetano AlfanoGianni Cappelli
May 30, 2013·Renal Failure·Marlene HillSteven D Weisbord

❮ 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.