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Renal failure after major angiography

R L Eisenberg, W O Bank, M W Hedgcock

    The American Journal of Medicine
    |January 1, 1980
    PubMed
    Summary
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    A previous report suggested high rates of kidney failure after angiography. Our study found no renal failure in 100 patients, indicating angiography is safe when patients are well-hydrated.

    Area of Science:

    • Nephrology
    • Radiology
    • Cardiovascular Medicine

    Background:

    • A prior report indicated a 12% incidence of renal failure post-angiography.
    • This rate raised concerns about the safety of the diagnostic procedure.

    Purpose of the Study:

    • To prospectively evaluate the incidence of renal failure following angiography.
    • To determine if the previously reported high rate of renal complications is accurate.

    Main Methods:

    • A prospective study involving 100 consecutive patients undergoing angiography.
    • Monitoring for instances of renal failure post-procedure.

    Main Results:

    • No cases of renal failure were observed in the 100 patients studied.

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  • The findings contradict the previously reported high incidence of renal complications.

    • Conclusions:

    • Angiography does not pose a significant hazard of renal failure when adequate hydration is maintained.
    • The procedure is safe even in patients with pre-existing medical conditions, provided hydration protocols are followed.