Incidence and Risk Factors of Contrast-Induced Nephropathy after Bronchial Arteriography or Bronchial Artery Embolization

Tuberculosis and Respiratory Diseases

article

June Seok Song¹  Sa Il Kim²  Woongjun Kim¹  Dong Won Park¹  Hyun Jung Kwak¹  Ji-Yong Moon¹  Sang-Heon Kim¹  Tae Hyung Kim¹  Jang Won Sohn¹  Dong Ho Shin¹  Sung Soo Park¹  Ho Joo Yoon¹ 

[1] Department of Internal Medicine, Hanyang University College of Medicine;Department of Internal Medicine, HanMaEum Medical Center

关键词: Contrast Media;    Acute Kidney Injury;    Bronchial Arteries;    Embolization;    Therapeutic;   

DOI  :  10.4046/trd.2013.74.4.163

学科分类：医学（综合）

来源: The Korean Academy of Tuberculosis and Respiratory Diseases

【 摘 要 】

Background In uncontrolled hemoptysis patient, bronchial arteriography and bronchial artery embolization (BAE) is a important procedure in diagnosis and treatment. The aim of this study is to assess the incidence of contrast-induced nephropathy and the risk factors of contrast-induced nephropathy (CIN) after bronchial arteriography and BAE. Methods We retrospectively reviewed the medical records of the patients who underwent bronchial arteriography and BAE in two university hospitals from January 2003 to December 2011. CIN was defined as rise of serum creatinine more than 25% of baseline value or 0.5 mg/dL at between 48 hours and 96 hours after bronchial arteriography and BAE. We excluded patients who already had severe renal insufficiency (serum creatinine≥4.0) or had been receiving dialysis. Results Of the total 100 screened patients, 88 patients met the enrollment criteria. CIN developed in 7 patients (8.0%). The mean duration between the exposure and development of CIN was 2.35±0.81 days. By using multivariate analysis, serum albumin level was found to be significantly associated with the development of CIN (p=0.0219). Conclusion These findings suggest that the incidence of CIN was higher than expected and patients with hypoalbuminemia should be monitored more carefully to prevent the development of CIN after bronchial arteriography and BAE.

【 授权许可】

CC BY-NC