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Semin intervent Radiol 2021; 38(01): 139-143
DOI: 10.1055/s-0041-1724016
Morbidity & Mortality

Postcontrast Acute Kidney Injury After Transarterial Chemoembolization

Ali Kord
1   Division of Interventional Radiology, Department of Radiology, University of Illinois College of Medicine, Chicago, Illinois
,
Simon J. Park
1   Division of Interventional Radiology, Department of Radiology, University of Illinois College of Medicine, Chicago, Illinois
,
Amith Rao
1   Division of Interventional Radiology, Department of Radiology, University of Illinois College of Medicine, Chicago, Illinois
,
Atul Eppurath
1   Division of Interventional Radiology, Department of Radiology, University of Illinois College of Medicine, Chicago, Illinois
,
Andrew Lipnik
1   Division of Interventional Radiology, Department of Radiology, University of Illinois College of Medicine, Chicago, Illinois
,
Charles E. Ray
1   Division of Interventional Radiology, Department of Radiology, University of Illinois College of Medicine, Chicago, Illinois
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Intravascular (IV) administration of contrast media (CM) is commonly utilized to enhance the capabilities of imaging modalities commonplace in both diagnostic and therapeutic interventions. There are numerous iatrogenic reactions associated with CM administration that have been described in literature,[1] broadly categorized as allergic and nonallergic. Postcontrast acute kidney injury (PC-AKI) is a subset of nonallergic CM reactions and is especially important in patients with an underlying medical condition such as chronic kidney disease (CKD). This may be exacerbated by IV administration of CM during long interventional procedures such as angiography. In this article, a case of PC-AKI is presented followed by a discussion of the topic. In addition, guidelines for prevention and treatment of PC-AKI are presented.



Publication History

Article published online:
15 April 2021

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