Open AccessAn unusual case of acute on chronic renal failure following percutaneous coronary intervention
Author(s) -
Stasinos Theodorou,
Peter E. Glen
Publication year - 2009
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr.10.2008.1040
Subject(s) - medicine , nephrotoxicity , dialysis , intensive care medicine , contrast medium , nephropathy , complication , differential diagnosis , contrast induced nephropathy , percutaneous coronary intervention , percutaneous , acute kidney injury , cardiology , kidney , radiology , pathology , myocardial infarction , diabetes mellitus , endocrinology
Contrast nephrotoxicity is a common and well-documented complication of procedures utilising x ray contrast medium. It should be looked for whenever patients are exposed to contrast medium as it carries a good prognosis if managed appropriately, with only a minority of cases requiring dialysis. It is essential, however, that other causes of renal dysfunction are excluded before making a firm diagnosis of contrast nephropathy. Any delay in administering the appropriate treatment depending on the underlying pathology can result in devastating consequences. The differential diagnosis of acute renal failure is extensive and a systematic diagnostic approach should always be observed.