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[Non-iodinated contrast media nephrotoxicity]. / Toxicité rénale des produits de contraste non iodés.
Janus, Nicolas; Launay-Vacher, Vincent; Deray, Gilbert.
Afiliación
  • Janus N; Service Icar, hôpital de la Pitié-Salpêtrière, 83, boulevard de l'Hôpital, 75013 Paris, France; Service de néphrologie, hôpital de la Pitié-Salpêtrière, 83, boulevard de l'Hôpital, 75013 Paris, France. Electronic address: nicolas.janus@aphp.fr.
  • Launay-Vacher V; Service Icar, hôpital de la Pitié-Salpêtrière, 83, boulevard de l'Hôpital, 75013 Paris, France; Service de néphrologie, hôpital de la Pitié-Salpêtrière, 83, boulevard de l'Hôpital, 75013 Paris, France.
  • Deray G; Service Icar, hôpital de la Pitié-Salpêtrière, 83, boulevard de l'Hôpital, 75013 Paris, France; Service de néphrologie, hôpital de la Pitié-Salpêtrière, 83, boulevard de l'Hôpital, 75013 Paris, France.
Nephrol Ther ; 14(6): 484-490, 2018 Nov.
Article en Fr | MEDLINE | ID: mdl-30301611
The development of interventional radiology techniques regularly exposes patients to the potential renal toxocity of iodinated contrast media. Faced with this risk of nephrotoxicity, gadolinium-based contrast agents have long been considered as a safe alternative to iodinated contrast media, especially in sensitive or at risk patients. However, these gadolinium-based contrast agents are not devoid of nephrotoxicity and present another risk, a complication related to renal failure, the nephrogenic systemic fibrosis. European and US recommendations from health agencies have recently come closer, defining groups of patients at risk of nephrogenic systemic fibrosis according to their level of renal function and the type of gadolinium-based contrast agent used. What are the real renal risks for these products? How to evaluate the benefit-risk balance of the patient to choose a radiological examination in an informative, effective and safe way? This article focuses on the description of the risks of gadolinium-based contrast agents, reviews existing recommendations and best practices to guide the choice of clinicians.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Medios de Contraste / Insuficiencia Renal / Gadolinio Tipo de estudio: Etiology_studies / Guideline / Risk_factors_studies Límite: Humans Idioma: Fr Revista: Nephrol Ther Asunto de la revista: NEFROLOGIA / TERAPEUTICA Año: 2018 Tipo del documento: Article Pais de publicación: Francia
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Medios de Contraste / Insuficiencia Renal / Gadolinio Tipo de estudio: Etiology_studies / Guideline / Risk_factors_studies Límite: Humans Idioma: Fr Revista: Nephrol Ther Asunto de la revista: NEFROLOGIA / TERAPEUTICA Año: 2018 Tipo del documento: Article Pais de publicación: Francia