Evaluar riesgo | Comprobar | |||
Recomendada fundamentalmente para pacientes con mayor riesgo de NPC, que se define como creatinina sérica ≥ 1,5 mg/dl. o filtración glomerular estimada de <60 ml/1.73 m2, en especial en pacientes diabéticos. |
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Tipo de estudio |
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3.5 ml/kg/la hora previa al estudio. 1.2 ml/kg/h las 6 hs siguientes |
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Bibliografía | |
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Barret B. Acetylcysteine in the prevention of contrast-induced nephropathy A case study of the pitfall in theevolution of evidence NEJM 2006; 354: 379-386 | |
Chertow G. Prevention of radiocontrast nephropathy JAMA 2004, 291;2376-2377 | |
Mueller, C. Et al. Incidence of contrat nephropathy in patients receving comprehensive intravenous and oral volumen supplementation Swiss Med Wkly 2005, 135:286-290 | |
Charanjit, SR. Incidence and Prognostic importance of acute renal failure after percutaneus coronary intervention. Circulation 2002 2259-2265 | |
Marenzi G. Contrast-induced nephropathy in patients undergoing primary angioplasty for acute myocardial infraction JACC 2004; 44: 1779-1785 | |
A simple risk score for prediction of acute renal failure after percutaneus coronary intervention. JACC 2004; 44: :1393-9 | |
Mueller C. Et al. Prevention of Contrast Media - Associated Nephropathy Randomized Comparison of 2 hydration regimen in 1620 patients undergoing coronary angioplasty. Arch Intern Med 2002, 162: 329-336 | |
Merten GJ, et al. Prevention of contrast-induced nephropathy with sodium bicarbonate A randomized Controlled Trial JAMA 2004, 291: 2328-2334 | |
Bagshaw S, et al. Acetylcysteine in the prevention of Contrast-Induced Nephropathy A case study of the pitfalls in the Evolution of Evidence. Arch Intern Med 2006, 166:161-166 | |
Kay J et al. Acetylcysteine for prevention of acute deterioration of renal funcion following elective coronary angiography and intervention A randomized Controlled Trial JAMA 2003, 289: 553-558 | |
Baker, C et al. A rapid protocol for the prevention of contrast-induced renal dysfunction: the RAPPID study. JACC 2003, 41: 2114-2118 | |
Giancarlo M et al. N England J Med 2006, 354 (26) 2773-2782 | |
Nash K. American J Kidney Dis 2003;39:930-6 Hospital adquired renal insufficiency | |
Levy EM, JAMA 1996; 275:1489-1494. The effect of acute renal failure on mortaliy: a cohort analysis | |