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Related Experiment Video

Updated: May 31, 2026

Isolation of Glomeruli and In Vivo Labeling of Glomerular Cell Surface Proteins
09:12

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Published on: January 18, 2019

Contrast-induced nephropathy.

John H Rundback1, Daniel Nahl, Vanessa Yoo

  • 1Interventional Institute, Holy Name Medical Center, Teaneck, NJ, USA. jrundback@airsllp.com

Journal of Vascular Surgery
|July 12, 2011
PubMed
Summary
This summary is machine-generated.

Contrast-induced nephropathy (CIN) risk is a growing concern with increased imaging studies. Volume supplementation before contrast administration is currently the most supported strategy for preventing CIN.

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Area of Science:

  • Nephrology
  • Radiology
  • Cardiology

Background:

  • Contrast-induced nephropathy (CIN) is a significant adverse event associated with iodinated contrast media.
  • Increased utilization of contrast-enhanced imaging studies has heightened the need for CIN research.
  • Varied definitions and diagnostic markers contribute to inconsistent reported CIN incidence.

Purpose of the Study:

  • To review current understanding of CIN pathogenesis and prevention strategies.
  • To assess the evidence supporting various methods for reducing CIN risk.
  • To identify areas requiring further research, particularly randomized trials.

Main Methods:

  • Literature review of studies on contrast-induced nephropathy.
  • Analysis of risk assessment and risk reduction strategies.
  • Evaluation of evidence for preventative measures like volume supplementation, low osmolar contrast media, N-acetylcysteine, and fenoldopam therapy.

Main Results:

  • Volume supplementation prior to contrast administration is supported by current evidence to reduce CIN hazard.
  • Other strategies such as low osmolar contrast media, N-acetylcysteine, and fenoldopam therapy show variable levels of evidence.
  • Further randomized trials are needed to clarify the efficacy of these alternative strategies.

Conclusions:

  • Volume supplementation is the primary evidence-based strategy for CIN prevention.
  • The efficacy of other CIN prevention methods requires further investigation through robust clinical trials.
  • Standardized definitions and markers are needed for consistent CIN incidence reporting.