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Contrast-Induced Nephropathy

Tadhg G. Gleeson1 and Sudi Bulugahapitiya2

1 Department of Radiology, Mater Misericordiae University Hospital, Eccles St., Dublin 9, Ireland.
2 Department of Cardiology, St. James Hospital, James St., Dublin 8, Ireland.



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  		Fig. 1. —Diagram shows proposed pathophysiologic mechanisms of contrast-induced nephropathy. NO = nitric oxide.

 


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  		Fig. 2. —Diagram shows proposed radiology department protocol for prevention of contrast-induced nephropathy. Maximum risk is renal impairment, diabetes, and other risk factors. High risk is renal impairment, diabetes only, and three or more cumulative risk factors. Low risk is less than three risk factors. GFR = glomerular filtration rate, NSAIDs = nonsteroidal antiinflammatory drugs.

 

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