网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
造影剂肾病防治的研究进展
作者:唐庚1 2  马根山1 2 
单位:1. 东南大学医学院, 江苏 南京 210009;
2. 东南大学医学院附属中大医院 心内科, 江苏 南京 210009
关键词:造影剂肾病 危险因素 防治措施 综述 
分类号:R981.1;R692
出版年·卷·期(页码):2017·36·第十一期(1691-1695)
摘要:

由于现今介入诊断及治疗的广泛开展,造影剂的广泛使用使得造影剂肾病已经成为医源性急性肾损伤的第三大原因。造影剂肾病发病机制尚不明确,通过评估患者的危险因素以识别造影剂肾病发生的高危人群对控制造影剂肾病的发生有着重要的意义。使用非离子型等渗或低渗造影剂、水化疗法、N-乙酰半胱氨酸、他汀等可能对造影剂肾病的防治有积极意义。本文作者就造影剂肾病防治的研究作一综述。

参考文献:

[1] THOMSEN H S.Guidelines for contrast media from the European Society of Urogenital Radiology[J].AJR Am J Roentgenol,2003,181(6):1463-1471.
[2] KITAJIMA K,MAEDA T,WATANABE S,et al.Recent issues in contrast-induced nephropathy[J].Int J Urol,2011,18(10):686-690.
[3] NASH K,HAFEEZ A,HOU S.Hospital-acquired renal insufficiency[J].Am J Kidney Dis,2002,39(5):930-936.
[4] BARTHOLOMEW B A,HARJAI K J,DUKKIPATI S,et al.Impact of nephropathy after percutaneous coronary intervention and a method for risk stratification[J].Am J Cardiol,2004,93(12):1515-1519.
[5] LEVY E M,VISCOLI C M,HORWITZ R I.The effect of acute renal failure on mortality.A cohort analysis[J].JAMA,1996,275(19):1489-1494.
[6] TUMLIN J,STACUL F,ADAM A,et al.Pathophysiology of contrast-induced nephropathy[J].Am J Cardiol,2006,98(6):14-20.
[7] ADAM A.Pathophysiology of contrast-induced nephropathy[J].Int J Cardiol,2012,158(2):186-192.
[8] GUASTONI C,DE S S.Pathophysiology of contrast-induced nephropathy[J].G Ital Cardiol,2009,10(2):73-78.
[9] MEHRAN R,AYMONG E D,NIKOLSKY E,et al.A simple risk score for prediction of contrast-induced nephropathy after percutaneous coronary intervention:development and initial validation[J].J Am Coll Cardiol,2004,44(7):1393-1399.
[10] HO Y F,HSIEH K L,KUNG F L,et al.Nephrotoxic polypharmacy and risk of contrast medium-induced nephropathy in hospitalized patients undergoing contrast-enhanced CT[J].AJR Am J Roentgenol,2015,205(4):703-708.
[11] LUCHI W M,SHIMIZU M H,CANALE D,et al.Vitamin D deficiency is a potential risk factor for contrast-induced nephropathy[J].Am J Physiol Regul Integr Comp Physiol,2015,309(3):215-222.
[12] SAHIN I,GUNGOR B,CAN M M,et al.Lower blood vitamin d levels are associated with an increased incidence of contrast-induced nephropathy in patients undergoing coronary angiography[J].Can J Cardiol,2014,30(4):428-433.
[13] SERGIO R R,EMAD A A,RAYMUNDO O S,et al.Dosing of iodinated contrast volume:a new simple algorithm to stratify the risk of contrast-induced nephropathy in patients with acute coronary syndrome[J].Catheter Cardiovasc Interv,2013,82(6):888-897.
[14] WANG Y C,TANG A,CHANG D,et al.Long-term adverse effects of low-osmolar compared with iso-osmolar contrast media after coronary angiography[J].Am J Cardiol,2016,118(7):985-990.
[15] VANOMMESLAEGHE F,DE M E,VAN D B C,et al.Selecting a strategy for prevention of contrast-induced nephropathy in clinical practice:an evaluation of different clinical practice guidelines using the AGREE tool[J].Nephrol Dial Transplant,2015,30(8):1300-1306.
[16] SUBRAMANIAM R M,SUAREZ-CUERVO C,WILSON R F,et al.Effectiveness of prevention strategies for contrast-induced nephropathy:a systematic review and meta-analysis[J].Ann Intern Med,2016,164(6):406-416.
[17] KOC F,OZDEMIR K,KAYA M G,et al.Intravenous N-acetylcysteine plus high-dose hydration versus high-dose hydration and standard hydration for the prevention of contrast-induced nephropathy:CASIS-A multicenter prospective controlled trial[J].Int J Cardiol,2010,155(3):418-423.
[18] JAFFERY Z,VERMA A,WHITE C J,et al.A randomized trial of intravenous n-acetylcysteine to prevent contrast induced nephropathy in acute coronary syndromes[J].Catheter Cardiovasc Interv,2012,79(6):921-926.
[19] HAN Y,ZHU G,HAN L,et al.Short-term rosuvastatin therapy for prevention of contrast-induced acute kidney injury in patients with diabetes and chronic kidney disease[J].J Am Coll Cardiol,2014,63(1):62-70.
[20] JO S H,HAHN J Y,LEE S Y,et al.High-dose atorvastatin for preventing contrast-induced nephropathy in primary percutaneous coronary intervention[J].J Cardiovasc Med,2014,16(3):213-219.
[21] SPARGIAS K,ALEXOPOULOS E,KYRZOPOULOS S,et al.Ascorbic acid prevents contrast-mediated nephropathy in patients with renal dysfunction undergoing coronary angiography or intervention[J].Circulation,2004,110(120):1793-1799.
[22] ZHOU L,CHEN H.Prevention of contrast-induced nephropathy with ascorbic acid[J].Intern Med,2012,51:531-535.
[23] MALHIS M,ALBITAR S,ALDEEN Z K.The role of theophylline in prevention of radiocontrast media-induced nephropathy[J].Saudi J Kidney Dis Transpl,2010,21(2):276-283.
[24] MATEJKA J,VARVAROVSKY I,VOJTISEK P,et al.Prevention of contrast-induced acute kidney injury by theophylline in elderly patients with chronic kidney disease[J].Heart Vessels,2010,25(6):536-542.
[25] STONE G W,MCCULLOUGH P A,TUMLIN J A,et al.Fenoldopam mesylate for the prevention of contrast-induced nephropathy:a randomized controlled trial[J].JAMA,2004,290(17):2284-2291.
[26] NAEEM M,MCENTEGGART G E,MURPHY T P,et al.Fenoldopam for the prevention of contrast-induced nephropathy (CIN)-do we need more trials? A meta-analysis[J].Clin Imaging,2015,39(5):759-764.
[27] KOZA Y.The effects of chronic usage of enzyme inhibitors and angiotensin receptor blockers on contrast-induced nephropathy in low-risk patients[J].Anadolu Kardiyol Derg,2013,13(3):245-250.
[28] BAINEY K R,RAHIM S,ETHERINGTON K,et al.Effects of withdrawing versus continuing renin-angiotensin blockers on incidence of acute kidney injury in patients with renal insufficiency undergoing cardiac catheterization:results from the captain trial[J].Am Heart J,2015,170(1):110-116.
[29] ZHAO K,LI Y,ZHANG H.Role of Dongchongxiacao (Cordyceps) in prevention of contrast-induced nephropathy in patients with stable angina pectoris[J].中医杂志(英文版),2013,33(3):283-286.
[30] MARENZI G,LAURI G,CAMPODONICO J,et al.Comparison of two hemofiltration protocols for prevention of contrast-induced nephropathy in high-risk patients[J].Am J Med,2006,119(2):155-162.
[31] CHOI M J,YOON J W,HAN S J,et al.The prevention of contrast-induced nephropathy by simultaneous hemofiltration during coronary angiographic procedures:a comparison with periprocedural hemofiltration[J].Int J Cardiol,2014,176(3):941-945.

服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 758707 位访问者


 ©《现代医学》编辑部
联系电话:025-83272481;83272479
电子邮件: xdyx@pub.seu.edu.cn

苏ICP备09058541