Ozsvath Kathleen J, Darling R Clement
The Vascular Group, 43 New Scotland Avenue (MC157), Albany, NY 12208.
The Vascular Group, 43 New Scotland Avenue (MC157), Albany, NY 12208.
Semin Vasc Surg. 2013 Dec;26(4):144-9. doi: 10.1053/j.semvascsurg.2014.06.011. Epub 2014 Jun 24.
As the numbers of interventional procedures are rising exponentially, identification of those patients at risk for renal complications has become even more important. Renal complications have been associated with increased morbidity and mortality after interventions. Risk factors have been studied to help identify those patients at increased risk for developing contrast-induced nephropathy. Hydration and medications have been studied as protective measures to decrease risk of renal complications. Preconditioning patients with intravenous hydration has been found to be the most helpful in circumventing postprocedural contrast-induced nephropathy.
随着介入手术数量呈指数级增长,识别有肾脏并发症风险的患者变得更加重要。肾脏并发症与介入治疗后的发病率和死亡率增加有关。人们对风险因素进行了研究,以帮助识别那些发生造影剂肾病风险增加的患者。人们还研究了水化和药物治疗作为降低肾脏并发症风险的保护措施。已发现对患者进行静脉水化预处理对规避术后造影剂肾病最有帮助。