Renal dysfunction after arteriography
R. A. Mason, L. A. Arbeit and F. Giron
Acute renal failure has been observed in patients undergoing angiography in
which a hypertonic triiodinated contrast medium is used. To ascertain the
incidence of renal dysfunction and the clinical risk factors, we did a
prospective study in which creatinine clearance was measured before and
immediately after 120 arteriographic procedures. Thirty-seven patients
(31%) sustained a significant reduction in creatine clearance after
arteriography. No specific risk factor could be determined. Our findings,
however, indicate that patients with preexisting renal insufficiency or
diabetes mellitus are not at a higher risk for sustaining a fall in
creatinine clearance after angiography.
