REGULAR CONTENT
Final ID
599
Type
Educational Exhibit-Poster Only
Authors
B Glaenzer1, J Hibbeln1, P Amin1
Institutions
1Loyola University Medical Center, Maywood, IL
Purpose
At the conclusion reading this poster the viewer will: ♦Understand a brief history of computed tomography contrast media and what it constitutes. ♦ Understand the definition of contrast induced nephropathy, and the new term introduced by the American College of Radiology (ACR) post contrast acute kidney injury (PCAKI) ♦Understand the new data on contrast induced nephropathy, and why the ACR introduced PCAKI ♦Understand the at risk population for CIN and PCAKI ♦Understand the current methods (and their logic) employed to prevent CIN
Materials & Methods
Contrast is used in nearly every procedure in interventional radiology. Despite the ubiquity of contrast media, and the apparent universal clinical concern for contrast induced nephropathy (CIN), there is no single dominant theory as to the mechanism of CIN. Further many of the studies which 'proved' CIN to exist were undertaken with an earlier generation of contrast media than what is currently used. This poster will examine the arguements (including the above among others) which undermine the validity of the concept of CIN, and support the recent introduction of the term post-contrast acute kidney injury (PC-AKI), by the American College of Radiology to the 2015 contrast manual.
Results
An in-depth review of the literature was conducted (see references). The pertinent papers will be succinctly discussed, with special attention paid to the controversy between Dr.McDonald and Dr.Davenport.Further, the natural history, epidemiology, and at risk population of CIN/PCAKI will be presented. Finally, the relevant trials which have attempted to prevent CIN/PCAKI will be discussed.
Conclusions
At the conclusion of reading this poster the viewer will be able to summarize the arguments and salient literature which undermine the validity of CIN and support the introduction of the term post contrast acute kidney injury.
Final ID
599
Type
Educational Exhibit-Poster Only
Authors
B Glaenzer1, J Hibbeln1, P Amin1
Institutions
1Loyola University Medical Center, Maywood, IL
Purpose
At the conclusion reading this poster the viewer will: ♦Understand a brief history of computed tomography contrast media and what it constitutes. ♦ Understand the definition of contrast induced nephropathy, and the new term introduced by the American College of Radiology (ACR) post contrast acute kidney injury (PCAKI) ♦Understand the new data on contrast induced nephropathy, and why the ACR introduced PCAKI ♦Understand the at risk population for CIN and PCAKI ♦Understand the current methods (and their logic) employed to prevent CIN
Materials & Methods
Contrast is used in nearly every procedure in interventional radiology. Despite the ubiquity of contrast media, and the apparent universal clinical concern for contrast induced nephropathy (CIN), there is no single dominant theory as to the mechanism of CIN. Further many of the studies which 'proved' CIN to exist were undertaken with an earlier generation of contrast media than what is currently used. This poster will examine the arguements (including the above among others) which undermine the validity of the concept of CIN, and support the recent introduction of the term post-contrast acute kidney injury (PC-AKI), by the American College of Radiology to the 2015 contrast manual.
Results
An in-depth review of the literature was conducted (see references). The pertinent papers will be succinctly discussed, with special attention paid to the controversy between Dr.McDonald and Dr.Davenport.Further, the natural history, epidemiology, and at risk population of CIN/PCAKI will be presented. Finally, the relevant trials which have attempted to prevent CIN/PCAKI will be discussed.
Conclusions
At the conclusion of reading this poster the viewer will be able to summarize the arguments and salient literature which undermine the validity of CIN and support the introduction of the term post contrast acute kidney injury.