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Review Article

Methods for Reducing Contrast Use and Avoiding Acute Kidney Injury During Endovascular Procedures

Author(s): Chrysovalantis Vergadis*, ">Georgios Festas, Eleni Spathi, Paris Pappas and ">Stavros Spiliopoulos

Volume 25, Issue 44, 2019

Page: [4648 - 4655] Pages: 8

DOI: 10.2174/1381612825666191211112800

Price: $65

Abstract

Iodinated Contrast Media (CM) has a plethora of applications in routine non-invasive or percutaneous invasive imaging examinations and therapeutic interventions. Unfortunately, the use of CM is not without complications, with contrast-induced acute kidney injury (CI-AKI) being among the most severe.

CI-AKI is a syndrome defined as a rapid development of renal impairment after a few days of CM endovascular injection, without the presence of any other underlying related pathologies. Although mostly transient and reversible, for a subgroup of patients with comorbidities related to renal failure, CI-AKI is directly leading to longer hospitalization, elevated rates of morbidity and mortality, as well as the increased cost of funding.

Thus, a need for classification in accordance with clinical and peri-procedural criteria is emerged. This would be very useful for CI-AKI patients in order to predict the ones who would have the greatest advantage from the application of preventive strategies.

This article provides a practical review of the recent evidence concerning CI-AKI incidence, diagnosis, and sheds light on prevention methods for reducing contrast use and avoiding AKI during endovascular procedures.

In conclusion, despite the lack of a specific treatment protocol, cautious screening, assessment, identification of the high-risk patients, and thus the application of simple interventions -concerning modifiable risk factors- can significantly reduce CI-AKI risk.

Keywords: Contrast-induced acute kidney injury, prevention, risk score, chronic kidney disease, iodinated contrast media, high-risk patients.

« Previous Next »
[1]
Berlyne N, Berlyne GM. Acute renal failure following intravenous pyelography with hypaque. Acta Med Scand 1962; 171: 39-41.
[http://dx.doi.org/10.1111/j.0954-6820.1962.tb04165.x] [PMID: 13867962]
[2]
Morabito S, Pistolesi V, Benedetti G, et al. Incidence of contrast-induced acute kidney injury associated with diagnostic or interventional coronary angiography. J Nephrol 2012; 25(6): 1098-107.
[http://dx.doi.org/10.5301/jn.5000101] [PMID: 22383347]
[3]
Caixeta A, Nikolsky E, Mehran R. Prevention and treatment of contrast-associated nephropathy in interventional cardiology. Curr Cardiol Rep 2009; 11(5): 377-83.
[http://dx.doi.org/10.1007/s11886-009-0052-6] [PMID: 19709498]
[4]
Mehran R, Nikolsky E. Contrast-induced nephropathy: definition, epidemiology, and patients at risk. Kidney Int Suppl 2006; (100): S11-5.
[http://dx.doi.org/10.1038/sj.ki.5000368] [PMID: 16612394]
[5]
Gupta RK, Bang TJ. Prevention of contrast-induced nephropathy (CIN) in interventional radiology practice. Semin Intervent Radiol 2010; 27(4): 348-59.
[http://dx.doi.org/10.1055/s-0030-1267860] [PMID: 22550376]
[6]
Bellomo R, Ronco C, Kellum JA, Mehta RL, Palevsky P. Acute Dialysis Quality Initiative workgroup. Acute renal failure - definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group. Crit Care 2004; 8(4): R204-12.
[http://dx.doi.org/10.1186/cc2872] [PMID: 15312219]
[7]
Levey AS, Eckardt KU, Tsukamoto Y, et al. Definition and classification of chronic kidney disease: a position statement from kidney disease: improving global outcomes (KDIGO). Kidney Int 2005; 67(6): 2089-100.
[http://dx.doi.org/10.1111/j.1523-1755.2005.00365.x] [PMID: 15882252]
[8]
Mehta RL, Kellum JA, Shah SV, et al. Acute Kidney Injury Network: report of an initiative to improve outcomes in acute kidney injury. Crit Care 2007; 11(2): R31.
[http://dx.doi.org/10.1186/cc5713] [PMID: 17331245]
[9]
American College of Radiology. Committee on Drugs and Contrast Media ACR Manual on Contrast Media, v103. American College of Radiology 2017.
[10]
Newhouse JH, Kho D, Rao QA, Starren J. Frequency of serum creatinine changes in the absence of iodinated contrast material: implications for studies of contrast nephrotoxicity. AJR Am J Roentgenol 2008; 191(2): 376-82.
[http://dx.doi.org/10.2214/AJR.07.3280] [PMID: 18647905]
[11]
Thomas ME, Blaine C, Dawnay A, et al. The definition of acute kidney injury and its use in practice. Kidney Int 2015; 87(1): 62-73.
[http://dx.doi.org/10.1038/ki.2014.328] [PMID: 25317932]
[12]
Fliser D, Laville M, Covic A, et al. A European Renal Best Practice (ERBP) position statement on the Kidney Disease Improving Global Outcomes (KDIGO) clinical practice guidelines on acute kidney injury: part 1: definitions, conservative management and contrast-induced nephropathy. Nephrol Dial Transplant 2012; 27(12): 4263-72.
[http://dx.doi.org/10.1093/ndt/gfs375] [PMID: 23045432]
[13]
Tumlin J, Stacul F, Adam A, et al. Pathophysiology of contrast-induced nephropathy. Am J Cardiol 2006; 98(6A): 14K-20K.
[http://dx.doi.org/10.1016/j.amjcard.2006.01.020] [PMID: 16949376]
[14]
Sendeski M, Patzak A, Pallone TL, Cao C, Persson AE, Persson PB. Iodixanol, constriction of medullary descending vasa recta, and risk for contrast medium-induced nephropathy. Radiology 2009; 251(3): 697-704.
[http://dx.doi.org/10.1148/radiol.2513081732] [PMID: 19366904]
[15]
Wong PC, Li Z, Guo J, Zhang A. Pathophysiology of contrast-induced nephropathy. Int J Cardiol 2012; 158(2): 186-92.
[http://dx.doi.org/10.1016/j.ijcard.2011.06.115] [PMID: 21784541]
[16]
Heinrich MC, Kuhlmann MK, Grgic A, Heckmann M, Kramann B, Uder M. Cytotoxic effects of ionic high-osmolar, nonionic monomeric, and nonionic iso-osmolar dimeric iodinated contrast media on renal tubular cells in vitro. Radiology 2005; 235(3): 843-9.
[http://dx.doi.org/10.1148/radiol.2353040726] [PMID: 15845795]
[17]
Persson PB, Hansell P, Liss P. Pathophysiology of contrast medium-induced nephropathy. Kidney Int 2005; 68(1): 14-22.
[http://dx.doi.org/10.1111/j.1523-1755.2005.00377.x] [PMID: 15954892]
[18]
Seeliger E, Lenhard DC, Persson PB. Contrast media viscosity versus osmolality in kidney injury: lessons from animal studies. BioMed Res Int 2014; 2014358136
[http://dx.doi.org/10.1155/2014/358136]
[19]
Hardiek K, Katholi RE, Ramkumar V, Deitrick C. Proximal tubule cell response to radiographic contrast media. Am J Physiol Renal Physiol 2001; 280(1): F61-70.
[http://dx.doi.org/10.1152/ajprenal.2001.280.1.F61] [PMID: 11133515]
[20]
Ueda J, Nygren A, Hansell P, Ulfendahl HR. Effect of intravenous contrast media on proximal and distal tubular hydrostatic pressure in the rat kidney. Acta Radiol 1993; 34(1): 83-7.
[http://dx.doi.org/10.1177/028418519303400117] [PMID: 8427755]
[21]
Brown JR, DeVries JT, Piper WD, et al. Serious renal dysfunction after percutaneous coronary interventions can be predicted. Am Heart J 2008; 155(2): 260-6.
[http://dx.doi.org/10.1016/j.ahj.2007.10.007] [PMID: 18215595]
[22]
McCullough PA, Adam A, Becker CR, et al. Risk prediction of contrast-induced nephropathy. Am J Cardiol 2006; 98(6A): 27K-36K.
[http://dx.doi.org/10.1016/j.amjcard.2006.01.022] [PMID: 16949378]
[23]
Stevens MA, McCullough PA, Tobin KJ, et al. Prevention of Radiocontrast Induced Nephropathy Clinical Evaluation. A prospective randomized trial of prevention measures in patients at high risk for contrast nephropathy: results of the P.R.I.N.C.E. Study. J Am Coll Cardiol 1999; 33(2): 403-11.
[http://dx.doi.org/10.1016/S0735-1097(98)00574-9] [PMID: 9973020]
[24]
Nikolsky E, Mehran R, Turcot D, et al. Impact of chronic kidney disease on prognosis of patients with diabetes mellitus treated with percutaneous coronary intervention. Am J Cardiol 2004; 94(3): 300-5.
[http://dx.doi.org/10.1016/j.amjcard.2004.04.023] [PMID: 15276092]
[25]
Pakfetrat M, Nikoo MH, Malekmakan L, et al. Comparison of risk factors for contrast-induced acute kidney injury between patients with and without diabetes. Hemodial Int 2010; 14(4): 387-92.
[http://dx.doi.org/10.1111/j.1542-4758.2010.00469.x] [PMID: 20796046]
[26]
Qian G, Fu Z, Guo J, Cao F, Chen Y. Prevention of contrast-induced nephropathy by central venous pressure-guided fluid administration in chronic kidney disease and congestive heart failure patients. JACC Cardiovasc Interv 2016; 9(1): 89-96.
[http://dx.doi.org/10.1016/j.jcin.2015.09.026] [PMID: 26685074]
[27]
Sidhu RB, Brown JR, Robb JF, et al. Interaction of gender and age on post cardiac catheterization contrast-induced acute kidney injury. Am J Cardiol 2008; 102(11): 1482-6.
[http://dx.doi.org/10.1016/j.amjcard.2008.07.037] [PMID: 19026300]
[28]
Mehran R, Aymong ED, Nikolsky E, et al. A simple risk score for prediction of contrast-induced nephropathy after percutaneous coronary intervention: development and initial validation. J Am Coll Cardiol 2004; 44(7): 1393-9.
[http://dx.doi.org/10.1016/j.jacc.2004.06.068] [PMID: 15464318]
[29]
Murakami R, Kumita S, Hayashi H, et al. Anemia and the risk of contrast-induced nephropathy in patients with renal insufficiency undergoing contrast-enhanced MDCT. Eur J Radiol 2013; 82(10): e521-4.
[http://dx.doi.org/10.1016/j.ejrad.2013.06.004] [PMID: 23827802]
[30]
Peng F, Su J, Lin J, Niu W. Impact of renin-angiotensin-aldosterone system-blocking agents on the risk of contrast-induced acute kidney injury: a prospective study and meta-analysis. J Cardiovasc Pharmacol 2015; 65(3): 262-8.
[http://dx.doi.org/10.1097/FJC.0000000000000189] [PMID: 25502308]
[31]
Cirit M, Toprak O, Yesil M, et al. Angiotensin-converting enzyme inhibitors as a risk factor for contrast-induced nephropathy. Nephron Clin Pract 2006; 104(1): c20-7.
[http://dx.doi.org/10.1159/000093255] [PMID: 16685140]
[32]
Peer A, Averbukh Z, Berman S, Modai D, Averbukh M, Weissgarten J. Contrast media augmented apoptosis of cultured renal mesangial, tubular, epithelial, endothelial, and hepatic cells. Invest Radiol 2003; 38(3): 177-82.
[http://dx.doi.org/10.1097/01.RLI.0000054529.61167.84] [PMID: 12595799]
[33]
Kushner FG, Hand M, Smith SC Jr, et al. 2009 focused updates: ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction (updating the 2004 guideline and 2007 focused update) and ACC/AHA/SCAI guidelines on percutaneous coronary intervention (updating the 2005 guideline and 2007 focused update) a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2009; 54(23): 2205-41.
[http://dx.doi.org/10.1016/j.jacc.2009.10.015] [PMID: 19942100]
[34]
Anne G, Gruberg L, Huber A, et al. Traditional versus automated injection contrast system in diagnostic and percutaneous coronary interventional procedures: comparison of the contrast volume delivered. J Invasive Cardiol 2004; 16(7): 360-2.
[PMID: 15282428]
[35]
Osprey Medical, Inc AVERT Clinical Trial for Contrast Media Volume Reduction and Incidence of CIN (AVERT) 2015 Available at. https://clinicaltrials.gov/ct2/show/NCT01976299
[36]
Gurm HS, Dixon SR, Smith DE, et al. Renal function-based contrast dosing to define safe limits of radiographic contrast media in patients undergoing percutaneous coronary interventions. J Am Coll Cardiol 2011; 58(9): 907-14.
[http://dx.doi.org/10.1016/j.jacc.2011.05.023] [PMID: 21851878]
[37]
Katzberg RW, Barrett BJ. Risk of iodinated contrast material--induced nephropathy with intravenous administration. Radiology 2007; 243(3): 622-8.
[http://dx.doi.org/10.1148/radiol.2433061411] [PMID: 17446526]
[38]
Ellis JH, Cohan RH. Reducing the risk of contrast-induced nephropathy: a perspective on the controversies. AJR Am J Roentgenol 2009; 192(6): 1544-9.
[http://dx.doi.org/10.2214/AJR.09.2368] [PMID: 19457817]
[39]
Sharafuddin MJ, Marjan AE. Current status of carbon dioxide angiography. J Vasc Surg 2017; 66(2): 618-37.
[http://dx.doi.org/10.1016/j.jvs.2017.03.446] [PMID: 28735955]
[40]
Trivedi HS, Moore H, Nasr S, et al. A randomized prospective trial to assess the role of saline hydration on the development of contrast nephrotoxicity. Nephron Clin Pract 2003; 93(1): C29-34.
[http://dx.doi.org/10.1159/000066641] [PMID: 12411756]
[41]
Nikolsky E, Mehran R. Hydration protocols to reduce the incidence of contrast-induced nephropathy. J Invasive Cardiol 2008; 20(10): 527-38.
[PMID: 18829997]
[42]
Levine GN, Bates ER, Blankenship JC, et al. 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention. A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. Circulation 2011; 124(23): e574-651.
[http://dx.doi.org/10.1016/j.jacc.2011.08.007] [PMID: 22070834]
[43]
McCullough PA. Contrast-induced acute kidney injury. J Am Coll Cardiol 2008; 51(15): 1419-28.
[http://dx.doi.org/10.1016/j.jacc.2007.12.035] [PMID: 18402894]
[44]
ontrast Media Safety Committee ESUR Guidelines on contrast agents version 10th; CMSC 2018 Available at. http://www.esur-cm.org/
[45]
Mueller C, Buerkle G, Buettner HJ, et al. Prevention of contrast media-associated nephropathy: randomized comparison of 2 hydration regimens in 1620 patients undergoing coronary angioplasty. Arch Intern Med 2002; 162(3): 329-36.
[http://dx.doi.org/10.1001/archinte.162.3.329] [PMID: 11822926]
[46]
Zapata-Chica CA, Bello Marquez D, Serna-Higuita LM, Nieto-Ríos JF, Casas-Arroyave FD, Donado-Gómez JH. Sodium bicarbonate versus isotonic saline solution to prevent contrast-induced nephropathy: a systematic review and meta-analysis. Colomb Med 2015; 46(3): 90-103.
[http://dx.doi.org/10.25100/cm.v46i3.1925] [PMID: 26600623]
[47]
Brar SS, Hiremath S, Dangas G, Mehran R, Brar SK, Leon MB. Sodium bicarbonate for the prevention of contrast induced-acute kidney injury: a systematic review and meta-analysis. Clin J Am Soc Nephrol 2009; 4(10): 1584-92.
[http://dx.doi.org/10.2215/CJN.03120509] [PMID: 19713291]
[48]
Brar SS, Aharonian V, Mansukhani P, et al. Haemodynamic-guided fluid administration for the prevention of contrast-induced acute kidney injury: the POSEIDON randomised controlled trial. Lancet 2014; 383(9931): 1814-23.
[http://dx.doi.org/10.1016/S0140-6736(14)60689-9] [PMID: 24856027]
[49]
Mehran R, Caixeta A. N-acetylcysteine in preventing contrast-induced nephropathy. To give, or not to give: that is the question. Rev Esp Cardiol 2010; 63(1): 9-11.
[http://dx.doi.org/10.1016/S0300-8932(10)70003-8] [PMID: 20089220]
[50]
Fishbane S. N-acetylcysteine in the prevention of contrast-induced nephropathy. Clin J Am Soc Nephrol 2008; 3(1): 281-7.
[http://dx.doi.org/10.2215/CJN.02590607] [PMID: 18003766]
[51]
Shlipak MG, Matsushita K, Ärnlöv J, et al. CKD Prognosis Consortium. Cystatin C versus creatinine in determining risk based on kidney function. N Engl J Med 2013; 369(10): 932-43.
[http://dx.doi.org/10.1056/NEJMoa1214234] [PMID: 24004120]
[52]
Kellum JA, Lameire N, Aspelin P, et al. Kidney disease: Improving global outcomes (KDIGO) acute kidney injury work group. KDIGO clinical practice guideline for acute kidney injury. Kidney Int Suppl 2012; 2(1): 1-138.
[53]
Rodrigues GJ, Lunardi CN, Lima RG, et al. Vitamin C improves the effect of a new nitric oxide donor on the vascular smooth muscle from renal hypertensive rats. Nitric Oxide 2008; 18(3): 176-83.
[http://dx.doi.org/10.1016/j.niox.2007.12.002] [PMID: 18194676]
[54]
McCullough PA, Akrawinthawong K. Ascorbic acid for the prevention of contrast-induced acute kidney injury. J Am Coll Cardiol 2013; 62(23): 2176-7.
[http://dx.doi.org/10.1016/j.jacc.2013.07.066] [PMID: 23994411]
[55]
Sadat U, Usman A, Gillard JH, Boyle JR. Does ascorbic acid protect against contrast-induced acute kidney injury in patients undergoing coronary angiography: a systematic review with meta-analysis of randomized, controlled trials. J Am Coll Cardiol 2013; 62(23): 2167-75.
[http://dx.doi.org/10.1016/j.jacc.2013.07.065] [PMID: 23994417]
[56]
Singh N, Lee JZ, Huang JJ, et al. Benefit of statin pretreatment in prevention of contrast-induced nephropathy in different adult patient population: systematic review and meta-analysis. Open Heart 2014; 1(1) e000127
[http://dx.doi.org/10.1136/openhrt-2014-000127] [PMID: 25332824]
[57]
Li Y, Liu Y, Fu L, Mei C, Dai B. Efficacy of short-term high-dose statin in preventing contrast-induced nephropathy: a meta-analysis of seven randomized controlled trials. PLoS One 2012; 7(4) e34450
[http://dx.doi.org/10.1371/journal.pone.0034450] [PMID: 22511942]
[58]
Leoncini M, Toso A, Maioli M, Tropeano F, Villani S, Bellandi F. Early high-dose rosuvastatin for contrast-induced nephropathy prevention in acute coronary syndrome: results from the PRATO-ACS Study (Protective Effect of Rosuvastatin and Antiplatelet Therapy On contrast-induced acute kidney injury and myocardial damage in patients with Acute Coronary Syndrome). J Am Coll Cardiol 2014; 63(1): 71-9.
[http://dx.doi.org/10.1016/j.jacc.2013.04.105] [PMID: 24076283]
[59]
Marenzi G, Cosentino N, Werba JP, Tedesco CC, Veglia F, Bartorelli AL. A meta-analysis of randomized controlled trials on statins for the prevention of contrast-induced acute kidney injury in patients with and without acute coronary syndromes. Int J Cardiol 2015; 183: 47-53.
[60]
Grenader A, Healy DP. Fenoldopam is a partial agonist at dopamine-1 (DA1) receptors in LLC-PK1 cells. J Pharmacol Exp Ther 1991; 258(1): 193-8.
[PMID: 1677038]
[61]
US Food and Drugs administration (FDA) Available at. https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm?event=BasicSearch.process Approved Drug Products.History [accessed November 14, 2011]
[62]
Tumlin JA, Wang A, Murray PT, Mathur VS. Fenoldopam mesylate blocks reductions in renal plasma flow after radiocontrast dye infusion: a pilot trial in the prevention of contrast nephropathy. Am Heart J 2002; 143(5): 894-903.
[http://dx.doi.org/10.1067/mhj.2002.122118] [PMID: 12040355]
[63]
Landoni G, Biondi-Zoccai GG, Tumlin JA, et al. Beneficial impact of fenoldopam in critically ill patients with or at risk for acute renal failure: a meta-analysis of randomized clinical trials. Am J Kidney Dis 2007; 49(1): 56-68.
[http://dx.doi.org/10.1053/j.ajkd.2006.10.013] [PMID: 17185146]
[64]
Stone GW, McCullough PA, Tumlin JA, et al. Fenoldopammesylate for the prevention of contrast-induced nephropathy: a randomized controlled trial. JAMA 2003; 290(17): 2284-91.
[http://dx.doi.org/10.1001/jama.290.17.2284] [PMID: 14600187]
[65]
Allaqaband S, Tumuluri R, Malik AM, et al. Prospective randomized study of N-acetylcysteine, fenoldopam, and saline for prevention of radiocontrast-induced nephropathy. Catheter Cardiovasc Interv 2002; 57(3): 279-83.
[http://dx.doi.org/10.1002/ccd.10323] [PMID: 12410497]
[66]
Dai B, Liu Y, Fu L, Li Y, Zhang J, Mei C. Effect of theophylline on prevention of contrast-induced acute kidney injury: a meta-analysis of randomized controlled trials. Am J Kidney Dis 2012; 60(3): 360-70.
[http://dx.doi.org/10.1053/j.ajkd.2012.02.332] [PMID: 22516682]
[67]
Song K, Jiang S, Shi Y, Shen H, Shi X, Jing D. Renal replacement therapy for prevention of contrast-induced acute kidney injury: a meta-analysis of randomized controlled trials. Am J Nephrol 2010; 32(5): 497-504.
[http://dx.doi.org/10.1159/000321344] [PMID: 20975263]
[68]
Tasanarong A, Vohakiat A, Hutayanon P, Piyayotai D. New strategy of α- and γ-tocopherol to prevent contrast-induced acute kidney injury in chronic kidney disease patients undergoing elective coronary procedures. Nephrol Dial Transplant 2013; 28(2): 337-44.
[http://dx.doi.org/10.1093/ndt/gfs525] [PMID: 23314316]
[69]
Russo D, Testa A, Della Volpe L, Sansone G. Randomised prospective study on renal effects of two different contrast media in humans: protective role of a calcium channel blocker. Nephron 1990; 55(3): 254-7.
[http://dx.doi.org/10.1159/000185971] [PMID: 2370924]
[70]
Neumayer HH, Junge W, Küfner A, Wenning A. Prevention of radiocontrast-media-induced nephrotoxicity by the calcium channel blocker nitrendipine: a prospective randomised clinical trial. Nephrol Dial Transplant 1989; 4(12): 1030-6.
[PMID: 2517323]
[71]
Carraro M, Mancini W, Artero M, et al. Dose effect of nitrendipine on urinary enzymes and microproteins following non-ionic radiocontrast administration. Nephrol Dial Transplant 1996; 11(3): 444-8.
[http://dx.doi.org/10.1093/oxfordjournals.ndt.a027309] [PMID: 8671813]
[72]
Khoury Z, Schlicht JR, Como J, et al. The effect of prophylactic nifedipine on renal function in patients administered contrast media. Pharmacotherapy 1995; 15(1): 59-65.
[PMID: 7739947]
[73]
Diamantopoulos A, Kyriazis I, Geronatsiou K, et al. Parstatin prevents renal injury following ischemia/reperfusion and radiocontrast administration. Am J Nephrol 2012; 36(3): 278-86.
[http://dx.doi.org/10.1159/000341871] [PMID: 22965158]
[74]
Uchino S, Doig GS, Bellomo R, et al. Diuretics and mortality in acute renal failure. Crit Care Med 2004; 32(8): 1669-77.
[http://dx.doi.org/10.1097/01.CCM.0000132892.51063.2F] [PMID: 15286542]
[75]
Kokko JP. Site and mechanism of action of diuretics. Am J Med 1984; 77(5A): 11-7.
[http://dx.doi.org/10.1016/S0002-9343(84)80003-0] [PMID: 6496555]
[76]
Cantarovich F, Fernandez JC, Locatelli A, Perez Loredo J. Frusemide in high doses in the treatment of acute renal failure. Postgrad Med J 1971; 47(Suppl.): 13-7.
[PMID: 5579763]
[77]
Kleinknecht D, Ganeval D, Gonzalez-Duque LA, Fermanian J. Furosemide in acute oliguric renal failure. A controlled trial. Nephron 1976; 17(1): 51-8.
[http://dx.doi.org/10.1159/000180710] [PMID: 778649]
[78]
Karayannopoulos S. Letter: high-dose frusemide in renal failure. BMJ 1974; 2(5913): 278-9.
[PMID: 4827098]
[79]
Putzu A, Boscolo Berto M, Belletti A, et al. Prevention of contrast-induced acute kidney injury by furosemide with matched hydration in patients undergoing interventional procedures: a systematic review and meta-analysis of randomized trials. JACC Cardiovasc Interv 2017; 10(4): 355-63.
[http://dx.doi.org/10.1016/j.jcin.2016.11.006] [PMID: 28231903]
[80]
Dorval J-F, Dixon SR, Zelman RB, Davidson CJ, Rudko R, Resnic FS. Feasibility study of the RenalGuard™ balanced hydration system: a novel strategy for the prevention of contrast-induced nephropathy in high risk patients. Int J Cardiol 2013; 166(2): 482-6.
[http://dx.doi.org/10.1016/j.ijcard.2011.11.035] [PMID: 22204847]
[81]
Bagshaw SM, Delaney A, Jones D, Ronco C, Bellomo R. Diuretics in the Management of Acute Kidney Injury: A Multinational Survey. Contrib Nephrol 2007; 156: 236-49.
[http://dx.doi.org/10.1159/000102089]

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