Open AccessIdentifikasi Risiko dan Pencegahan Terhadap Nefropati Akibat Kontras
Author(s) -
Andre Tjie Wijaya,
Budiawan Atmadja
Publication year - 2016
Publication title -
jurnal radiologi indonesia (indonesian journal of radiology)
Language(s) - English
Resource type - Journals
eISSN - 2656-5803
pISSN - 2443-1745
DOI - 10.33748/jradidn.v2i1.50
Subject(s) - iodinated contrast , iodinated contrast media , medicine , contrast medium , renal function , nephropathy , contrast induced nephropathy , urology , creatinine , radiology , endocrinology , computed tomography , diabetes mellitus
The increase of application of iodinated contrast medium in diagnostic practice, combined with the increase of renal insufciency patients and elderly resulted in increasing incidency of contrast-induced nephropathy (CIN). The use of iodinated contrast medium need a careful assessment between risk and beneft, especially in patients with history of renal disease and elderly. Assessment of renal function is based on glomerular fltration rate, not serum creatinine. Avoidance of iodinated contrast medium is the frst step to prevent the development of CIN. Consideration of alternative imaging is important. But, if iodinated contrast medium is needed, volume expansion intravenous before and after administration is the next acknowledged prevention step.