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Contrast-Induced Acute Kidney Injury: Specialty-Specific Protocols for Interventional Radiology, Diagnostic Computed Tomography Radiology, and Interventional.

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Presentation on theme: "Contrast-Induced Acute Kidney Injury: Specialty-Specific Protocols for Interventional Radiology, Diagnostic Computed Tomography Radiology, and Interventional."— Presentation transcript:

1 Contrast-Induced Acute Kidney Injury: Specialty-Specific Protocols for Interventional Radiology, Diagnostic Computed Tomography Radiology, and Interventional Cardiology  Stanley Goldfarb, MD, Peter A. McCullough, MD, MPH, John McDermott, MD, Spencer B. Gay, MD  Mayo Clinic Proceedings  Volume 84, Issue 2, Pages (February 2009) DOI: / Copyright © 2009 Mayo Foundation for Medical Education and Research Terms and Conditions

2 FIGURE 1 Protocol for interventional radiology. AKI = acute kidney injury; CO2 = carbon dioxide; CrCl = creatinine clearance; eGFR = estimated glomerular filtration rate; MDRD = Modification of Diet in Renal Disease; NSAIDs = nonsteroidal anti-inflammatory drugs. *Do not measure the baseline serum creatinine (SCr) concentration after administration of N-acetylcysteine (NAC); do not cancel or delay the procedure if NAC is not administered. Mayo Clinic Proceedings  , DOI: ( / ) Copyright © 2009 Mayo Foundation for Medical Education and Research Terms and Conditions

3 FIGURE 2 Protocol for diagnostic computed tomography risk defined according to American College of Radiology (ACR) criteria.20 AKI = acute kidney injury; CKD = chronic kidney disease; CM = contrast medium; CrCl = creatinine clearance; eGFR = estimated glomerular filtration rate; MDRD = Modification of Diet in Renal Disease; NSAIDs = nonsteroidal anti-inflammatory drugs. *Do not measure the baseline serum creatinine (SCr) concentration after administration of N-acetylcysteine (NAC); do not cancel or delay the procedure if NAC is not administered. Mayo Clinic Proceedings  , DOI: ( / ) Copyright © 2009 Mayo Foundation for Medical Education and Research Terms and Conditions

4 FIGURE 3 Protocol for interventional cardiology. AKI = acute kidney injury; CKD = chronic kidney disease; CM = contrast medium; eGFR = estimated glomerular filtration rate; MDRD = Modification of Diet in Renal Disease. *Do not measure the baseline serum creatinine (SCr) concentration after administration of N-acetylcysteine (NAC); do not cancel or delay the procedure if NAC is not administered. Mayo Clinic Proceedings  , DOI: ( / ) Copyright © 2009 Mayo Foundation for Medical Education and Research Terms and Conditions


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