Management and recommendations for the prevention of contrast-induced acute kidney injury: state of the art in clinical practice

  • Emanuele Valeriani Internal Medicine Department, University G. D’Annunzio, Chieti, Italy.
  • Luciana Locorriere Internal Medicine Department, University Campus Bio-Medico of Rome, Italy.
  • Giuseppina Beretta Anguissola Internal Medicine Department, University Campus Bio-Medico of Rome, Italy.
  • Angelo Lauria Pantano Internal Medicine Department, University Campus Bio-Medico of Rome, Italy.
  • Massimo Ciccozzi Unit of Medical Statistic and Molecular Epidemiology, University Campus Bio-Medico of Rome, Italy.
  • Sebastiano Costantino Internal Medicine Department, University Campus Bio-Medico of Rome, Italy.
  • Silvia Angeletti | s.angeletti@unicampus.it Unit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Italy.
  • Silvia Spoto Internal Medicine Department, University Campus Bio-Medico of Rome, Italy.

Abstract

Contrast-induced acute kidney injury (CI-AKI) is defined as an acute kidney failure following iodine-based contrast medium administration determining relevant health and socio-sanitary implications. Knowledge of pathophysiology, early diagnosis, and prevention in patients at risk are critical points in CI-AKI management. Determination of risk and functional kidney evaluation must precede every iodine-based contrast medium (CM) administration in order to eventually introduce medical prophylaxis. Furthermore, early laboratoristic evaluation after iodine-based CM exposure should be performed for a prompt identification of acute kidney injury. Therefore, clinicians must know and strictly follow valid recommendations to minimize the development of complications.

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Published
2018-12-03
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Section
Reviews
Keywords:
Acute kidney injury, renal insufficiency, contrast media, risk factors, prevention.
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How to Cite
Valeriani, E., Locorriere, L., Beretta Anguissola, G., Lauria Pantano, A., Ciccozzi, M., Costantino, S., Angeletti, S., & Spoto, S. (2018). Management and recommendations for the prevention of contrast-induced acute kidney injury: state of the art in clinical practice. Italian Journal of Medicine, 12(4), 245-259. https://doi.org/10.4081/itjm.2018.1064

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