Cardiology Department, Technion-Israel Institute of Technolog, Haifa, Israel.
Minerva Med. 2012 Dec;103(6):465-86.
This review provides an update on the incidence, diagnosis, predictors, implications and strategies of prevention of renal function impairment in patients undergoing intraarterial administration of iodinated contrast media. New criteria to timely and accurately diagnose clinically significant renal injury related to contrast media exposure are discussed. Special focus is pointed on the critical appraisal of the existing hydration regimens and the novel modalities to prevent contrast induced nephropathy including pharmacological and non-pharmacological strategies.
这篇综述介绍了经动脉内给予碘造影剂的患者肾功能损害的发生率、诊断、预测因素、影响及预防策略方面的最新进展。讨论了及时准确诊断与造影剂暴露相关的临床显著肾损伤的新标准。特别关注对现有水化方案和预防造影剂肾病的新方法（包括药物和非药物策略）的严格评价。
