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

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Emanuele Valeriani
Luciana Locorriere
Giuseppina Beretta Anguissola
Angelo Lauria Pantano
Massimo Ciccozzi
Sebastiano Costantino
Silvia Angeletti *
Silvia Spoto
(*) Corresponding Author:
Silvia Angeletti | s.angeletti@unicampus.it

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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