Contrast-Induced Acute Kidney Injury: Specialty-Specific Protocols for Interventional Radiology, Diagnostic Computed Tomography Radiology, and Interventional.

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Contrast-Induced Acute Kidney Injury: Specialty-Specific Protocols for Interventional Radiology, Diagnostic Computed Tomography Radiology, and Interventional Cardiology Stanley Goldfarb, MD, Peter A. McCullough, MD, MPH, John McDermott, MD, Spencer B. Gay, MD Mayo Clinic Proceedings Volume 84, Issue 2, Pages 170-179 (February 2009) DOI: 10.4065/84.2.170 Copyright © 2009 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 1 Protocol for interventional radiology. AKI = acute kidney injury; CO2 = carbon dioxide; CrCl = creatinine clearance; eGFR = estimated glomerular filtration rate; MDRD = Modification of Diet in Renal Disease; NSAIDs = nonsteroidal anti-inflammatory drugs. *Do not measure the baseline serum creatinine (SCr) concentration after administration of N-acetylcysteine (NAC); do not cancel or delay the procedure if NAC is not administered. Mayo Clinic Proceedings 2009 84, 170-179DOI: (10.4065/84.2.170) Copyright © 2009 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 2 Protocol for diagnostic computed tomography risk defined according to American College of Radiology (ACR) criteria.20 AKI = acute kidney injury; CKD = chronic kidney disease; CM = contrast medium; CrCl = creatinine clearance; eGFR = estimated glomerular filtration rate; MDRD = Modification of Diet in Renal Disease; NSAIDs = nonsteroidal anti-inflammatory drugs. *Do not measure the baseline serum creatinine (SCr) concentration after administration of N-acetylcysteine (NAC); do not cancel or delay the procedure if NAC is not administered. Mayo Clinic Proceedings 2009 84, 170-179DOI: (10.4065/84.2.170) Copyright © 2009 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 3 Protocol for interventional cardiology. AKI = acute kidney injury; CKD = chronic kidney disease; CM = contrast medium; eGFR = estimated glomerular filtration rate; MDRD = Modification of Diet in Renal Disease. *Do not measure the baseline serum creatinine (SCr) concentration after administration of N-acetylcysteine (NAC); do not cancel or delay the procedure if NAC is not administered. Mayo Clinic Proceedings 2009 84, 170-179DOI: (10.4065/84.2.170) Copyright © 2009 Mayo Foundation for Medical Education and Research Terms and Conditions