Risk of nephropathy after intravenous administration of contrast material: A critical literature analysis

被引:175
作者
Rao, QA [1 ]
Newhouse, JH [1 ]
机构
[1] Columbia Univ, Med Ctr, Dept Radiol, New York, NY 10032 USA
关键词
D O I
10.1148/radiol.2392050413
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Purpose: To assess the risk of nephropathy after administration of contrast material by reviewing the published literature on intravenous contrast material administration and by separating reports with appropriate control measures from those without such measures. Materials and Methods: The MEDLINE database was searched for articles published from October 1966 to September 2004 that contained the phrases "contrast," "contrast medium," "contrast media," or "radiocontrast" and any of the words or phrases "nephrotoxicity," "nephropathy," "kidney failure," or "renal failure." The identified publications were reviewed and limited to original clinical series. Studies were categorized according to the route of contrast material administration. Those in which an identifiable group of patients received contrast material intravenously were further evaluated to determine which studies compared results with those from a control group of patients who did not receive contrast material. Results: Only 40 (1.3%) of 3081 publications had patients who received contrast material intravenously. Of these, only two publications had control groups of patients who received no contrast material. The incidence of postcontrast nephropathy in these two series was not substantially different from that in the control groups. Conclusion: Properly controlled clinical studies of intravenously administered radiographic contrast media fail to demonstrate renal damage.
引用
收藏
页码:392 / 397
页数:6
相关论文
共 58 条
[11]  
BUYAN N, 1995, TURKISH J PEDIATR, V37, P305
[12]   Effects of a dimeric vs a monomeric nonionic contrast medium on renal function in patients with mild to moderate renal insufficiency: a double-blind, randomized clinical trial [J].
Carraro, M ;
Malalan, F ;
Antonione, R ;
Stacul, F ;
Cova, M ;
Petz, S ;
Assante, M ;
Grynne, B ;
Haider, T ;
Dalla Palma, L ;
Faccini, L .
EUROPEAN RADIOLOGY, 1998, 8 (01) :144-147
[13]  
CARVALLO A, 1978, AM J MED, V65, P38, DOI 10.1016/0002-9343(78)90690-3
[14]   RENAL-FUNCTION FOLLOWING INFUSION OF RADIOLOGIC CONTRAST MATERIAL - A PROSPECTIVE CONTROLLED-STUDY [J].
CRAMER, BC ;
PARFREY, PS ;
HUTCHINSON, TA ;
BARAN, D ;
MELANSON, DM ;
ETHIER, RE ;
SEELY, JF .
ARCHIVES OF INTERNAL MEDICINE, 1985, 145 (01) :87-89
[15]   CARDIOVASCULAR AND RENAL TOXICITY OF A NONIONIC RADIOGRAPHIC CONTRAST AGENT AFTER CARDIAC-CATHETERIZATION - A PROSPECTIVE TRIAL [J].
DAVIDSON, CJ ;
HLATKY, M ;
MORRIS, KG ;
PIEPER, K ;
SKELTON, TN ;
SCHWAB, SJ ;
BASHORE, TM .
ANNALS OF INTERNAL MEDICINE, 1989, 110 (02) :119-124
[16]   ACUTE RENAL-FAILURE AFTER EXCRETORY UROGRAPHY IN DIABETIC-PATIENTS [J].
DIAZBUXO, JA ;
WAGONER, RD ;
HATTERY, RR ;
PALUMBO, PJ .
ANNALS OF INTERNAL MEDICINE, 1975, 83 (02) :155-158
[17]   EFFECTS ON RENAL HEMODYNAMICS AND TUBULAR FUNCTION OF THE CONTRAST-MEDIUM IOHEXOL IN RENAL PATIENTS [J].
DONADIO, C ;
TRAMONTI, G ;
GIORDANI, R ;
LUCCHETTI, A ;
CALDERAZZI, A ;
BASSANI, L ;
BIANCHI, C .
RENAL FAILURE, 1990, 12 (03) :141-146
[18]   IOHEXOL AND METRIZOATE IN UROGRAPHY OF INSULIN-DEPENDENT PATIENTS [J].
EDGREN, J ;
LAASONEN, L ;
GROOP, PH ;
GROOP, L .
ACTA RADIOLOGICA-DIAGNOSIS, 1986, 27 (03) :265-267
[19]   Iodixanol vs iopamidol in intravenous DSA of the abdominal aorta and lower extremity arteries: A comparative phase-III trial [J].
Fischbach, R ;
Landwehr, P ;
Lackner, K ;
Nossen, JO ;
Heindel, W ;
Berg, KJ ;
Eichhorn, G ;
Jacobsen, TF .
EUROPEAN RADIOLOGY, 1996, 6 (01) :9-13
[20]   INTRAVENOUS UROGRAPHY IN RENAL INSUFFICIENCY [J].
FULTON, RE ;
WITTEN, DM ;
WAGONER, RD .
AMERICAN JOURNAL OF ROENTGENOLOGY RADIUM THERAPY AND NUCLEAR MEDICINE, 1969, 106 (03) :623-&