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العنوان
Correlation Between Estimated Creatinine Clearance To Incidence Of Contrast Induced Nephropathy After Elective Percutaneous Coronary Intervention In Patients With Diabetes Mellitus /
المؤلف
Abo Taha, Mohamed Abd Elmoneim.
هيئة الاعداد
باحث / Mohamed Abd Elmoneim Abo Taha
مشرف / Said Shalaby Montaser
مشرف / Walaa Farid Mousa
مشرف / Hesham Hassan Ibrahim
الموضوع
Diabetic nephropathies.
تاريخ النشر
2013.
عدد الصفحات
104 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
أمراض القلب والطب القلب والأوعية الدموية
تاريخ الإجازة
10/3/2013
مكان الإجازة
جامعة المنوفية - كلية الطب - cardiovascular medicine dep.
الفهرس
Only 14 pages are availabe for public view

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from 116

Abstract

Contrast-induced nephropathy is a common and potentially serious complication after the administration of contrast media in patients at risk for acute renal injury (particularly when diabetes is present).
 The presence of multiple CIN risk factors in the same patient can create a very high risk for CIN.
 Creatinine Clearance (CCr) using Cockroft-Gault formula is a more reliable indicator of the patient’s glomerular filtration rate than serum creatinine alone.
 A creatinine clearance rate <75.11 ml/min had a sensitivity of 90.52%
and specificity 89.63% for predicting contrast nephropathy.
 Slight changes in serum creatinine 12 hrs. Post procedure predicts the occurrence of contrast-induced nephropathy without adding additional cost or time to routine practice.
 For intra-arterial administration of contrast in high-risk patients with chronic kidney disease, non-ionic, iso-osmolar agents are associated with lower risk of contrast-induced nephropathy.
 Higher contrast volumes (> 100 ml) are associated with higher rates of CIN.
 No adjunctive medical or mechanical treatment has been proven to effectively reduce the risk of CIN after exposure to iodinated contrast.