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NDT Advance Access originally published online on January 28, 2008
Nephrology Dialysis Transplantation 2008 23(5):1473-1475; doi:10.1093/ndt/gfn019
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© The Author [2008]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org


Does prophylactic haemodialysis protect kidney function after angiography?

Martin Tepel

Medizinische Klinik Nephrologie, Charité Campus Benjamin Franklin, Berlin, Germany

Correspondence and offprint requests to: Martin Tepel, Charité Campus Benjamin Franklin, Med. Klinik Nephrologie, Hindenburgdamm 30, 12200 Berlin, Germany. Fax: +49-30-8445-4235; Email: Martin.Tepel@charite.de

Keywords: haemodialysis; nephropathy; radiocontrast

The first 10% of the full text of this article appears below.



   What was known about prophylactic haemodialysis after radiocontrast administration?
 
On the one hand, it is well known that radiocontrast media can effectively be reduced by haemodialysis [1]. On the other hand, several prospective randomized studies clearly demonstrated that prophylactic haemodialysis after the administration of radiocontrast media did not prevent contrast-induced nephropathy and did not improve outcome of patients with chronic kidney disease. Lehnert et al. performed a study in 30 patients with chronic renal failure receiving radiocontrast. Mean baseline serum creatinine concentration was 2.4 mg/dL (212 µmol/L). Patients were randomly assigned to receive either a haemodialysis procedure for 3 h, started as soon as possible after the administration of radiocontrast or a conservative treatment. Contrast-induced nephropathy was not significantly different between the two groups [. . . [Full Text of this Article]



   What do novel studies add to our knowledge on prophylactic haemodialysis or haemofiltration?
 


   Practical recommendations including prophylactic haemodialysis
 

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