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The role of dialysis in contrast-induced nephropathy: doubts and certainties

Carlo Guastoni1, Stefano De Servi, Marco D'Amico

  • 1Division of Nephrology, Civic Hospital, Legnano, MI, Italy. carlo.guastoni@ao-legnano.it

Journal of Cardiovascular Medicine (Hagerstown, Md.)
|August 2, 2007
PubMed

Insights

Dialysis may help prevent contrast-induced nephropathy in patients with chronic kidney disease undergoing endovascular procedures. This review covers its role and indications for dialysis patients receiving contrast media.

Area of Science:

  • Nephrology
  • Cardiology
  • Radiology

Background:

  • Percutaneous endovascular procedures are increasing in patients with chronic kidney disease.
  • These patients have a high incidence of vascular disease, especially coronary artery disease.
  • Contrast media used in these procedures can worsen renal function, potentially leading to end-stage renal failure, increased morbidity, and mortality.

Purpose of the Study:

  • To review the role of dialysis in preventing contrast-induced nephropathy.
  • To present indications for using dialysis in patients on treatment undergoing procedures with contrast media.

Main Methods:

  • Literature review on dialysis and contrast-induced nephropathy.
  • Analysis of indications for dialysis in contrast media procedures.

Main Results:

  • Dialysis may serve a protective role against contrast-induced nephropathy.
  • Specific indications for dialysis exist for patients undergoing contrast-enhanced procedures.

Conclusions:

  • Dialysis is a relevant consideration for managing contrast media risks in chronic kidney disease patients.
  • Understanding indications for dialysis is crucial for optimizing patient outcomes during endovascular interventions.

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