Radiocontrast-induced acute kidney injury in the ICU: worse than presumed?

摘要

Contrast agents are administered to millions of patients annually worldwide [1]. Contrast-induced acute kidney injury (CI-AKI) is one of the most common complications of the use of iodinated contrast media. It accounts for up to 11% of hospital-acquired renal failures [2]. Reported incidences range from well below 2% in unselected collectives of patients [3] up to nearly 7% in patients with chronic kidney disease (CKD) and an estimated glomer-ular nitration rate (eGFR) <60 ml/min/1.73 m~2 [4, 5].