Current trials of interventions to prevent radiocontrast-induced nephropathy

Arif Asif, Galo Garces, Richard A. Preston, David Roth

Research output: Contribution to journalReview article

18 Scopus citations

Abstract

Radiocontrast administration is a common cause of hospital-acquired acute renal failure. It is associated with significant in-hospital and long-term morbidity and mortality and increases the costs of medical care by at least extending the hospital stay. A variety of therapeutic interventions, including saline hydration, diuretics, mannitol, calcium channel antagonists, theophylline, endothelin receptor antagonists, and dopamine, have been employed to prevent radiocontrast-induced acute renal failure. Recent advances have examined the impact of fenoldopam (dopamine-1 receptor agonist), N-acetylcysteine (antioxidant), iso-osmolar contrast agents, hemodialysis, and hemofiltration on ameliorating radiocontrast-induced acute renal failure. Although hydration with half-normal saline had remained the gold standard for the prevention of radiocontrast-induced nephropathy, recent data have revealed the superiority of hydration with normal saline over half-normal saline. This review focuses on the most recent studies of interventions to ameliorate radiocontrast-induced acute renal failure and provides a critical analysis of some of the recent studies conducted to prevent radiocontrast-induced nephropathy.

Original languageEnglish (US)
Pages (from-to)127-132
Number of pages6
JournalAmerican journal of therapeutics
Volume12
Issue number2
DOIs
StatePublished - Mar 1 2005

Keywords

  • Fenoldopam
  • Iso-osmolar contrast medium
  • N-acetylcysteine
  • Radiocontrast-induced nephropathy
  • Renal replacement therapy

ASJC Scopus subject areas

  • Pharmacology

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