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ACUTE RENAL FAILURE AFTER ANGIOGRAPHY

FREDERICH K. PORT M.D., RICHARD D. WAGONER M.D., and RICHARD E. FULTON M.D.

Acute oliguric renal failure developed in 8 patients after catheterization angiography without bilateral renal arteriography.

The cause for this complication remains obscure. Severe dehydration, shock, overdose of contrast medium, or multiple myeloma could not be implicated. From retrospective analysis of these cases, multiple factors seem to be operative in these generally severely ill patients.

Early recognition and adequate management may prevent life-threatening effects of this infrequent, but potentially serious angiographic complication.


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B. Tombach, C. Bremer, P. Reimer, K. Kisters, R. M. Schaefer, V. Geens, and W. Heindel
Renal Tolerance of a Neutral Gadolinium Chelate (gadobutrol) in Patients with Chronic Renal Failure: Results of a Randomized Study
Radiology, March 1, 2001; 218(3): 651 - 657.
[Abstract] [Full Text]


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