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European guidelines classify a pre-existing decreased kidney function to be a risk factor of contrast-induced nephropathy in the following cases: [5]. Estimated glomerular filtration rate (eGFR) < 45 ml/min/1.73 m 2 of body surface area before intra-arterial administration with first-pass renal exposure (not passing lungs or peripheral circulation before kidneys), or in the intensive care unit
In 2006, the link between NSF and gadolinium-based MRI contrast agents was made. [ 4 ] [ 23 ] [ 24 ] As a result, restrictions on use of GBCAs in patients with an estimated glomerular filtration rate (a measure of kidney function ) under 60 and especially under 30 mL/min/1.73 m 2 have been recommended and NSF is now considered rare.
The World Health Organization issued a restriction on use of several gadolinium contrast agents in November 2009 stating that "High-risk gadolinium-containing contrast agents (Optimark, Omniscan, Magnevist, Magnegita, and Gado-MRT ratiopharm) are contraindicated in patients with severe kidney problems, in patients who are scheduled for or have ...
An intravenous pyelogram is used to look for problems relating to the urinary tract. [5] These may include blockages or narrowing, such as due to kidney stones, cancer (such as renal cell carcinoma or transitional cell carcinoma), enlarged prostate glands, and anatomical variations, [5] such as a medullary sponge kidney. [6]
If kidney impairment is found before administration of the contrast, metformin should be withheld for 48 hours following the procedure and until kidney function has returned to normal. [32] Contrast exposure may interfere with subsequent radioiodine treatment, causing unwanted delays in the management of thyroid cancer. [30]
Studies using MRI showed that liraglutide (Victoza), a GLP-1 agonist used for diabetes, and tirzepatide (Zepbound) led to muscle loss that was expected with the observed magnitude of weight loss ...
Moreover, non-contrast enhanced methods do not require the administration of additional contrast agent, which have been recently linked to nephrogenic systemic fibrosis in patients with chronic kidney disease and kidney failure. Contrast-enhanced magnetic resonance angiography uses injection of MRI contrast agents and is currently the most ...
Researchers say a new study of kidney cancer offers hope for treating the disease using existing drugs. The study of the cancer at a single-cell level has discovered a potential drug target to ...
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