TY - JOUR
T1 - Nephrogenic systemic fibrosis
T2 - Recommendations for gadolinium-based contrast use in patients with kidney disease
AU - Perazella, Mark A.
AU - Reilly, Robert F.
PY - 2008/3
Y1 - 2008/3
N2 - Nephrogenic systemic fibrosis is a systemic disorder characterized by widespread tissue fibrosis. Gadolinium-based contrast (GBC) was recently noted as a possible trigger for this disease. The vast majority of cases occur in patients with ESRD receiving hemodialysis or peritoneal dialysis. However, approximately 10% of cases develop in patients with AKI (many requiring dialysis), advanced CKD stage 4, and CKD stage 5 not receiving renal replacement therapy. Recommendations to guide the use of GBC in patients with underlying kidney disease are presented. These clinical practice guidelines should be individualized and considered in consultation with the ordering physician, radiologist, and nephrologist.
AB - Nephrogenic systemic fibrosis is a systemic disorder characterized by widespread tissue fibrosis. Gadolinium-based contrast (GBC) was recently noted as a possible trigger for this disease. The vast majority of cases occur in patients with ESRD receiving hemodialysis or peritoneal dialysis. However, approximately 10% of cases develop in patients with AKI (many requiring dialysis), advanced CKD stage 4, and CKD stage 5 not receiving renal replacement therapy. Recommendations to guide the use of GBC in patients with underlying kidney disease are presented. These clinical practice guidelines should be individualized and considered in consultation with the ordering physician, radiologist, and nephrologist.
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U2 - 10.1111/j.1525-139X.2007.00402.x
DO - 10.1111/j.1525-139X.2007.00402.x
M3 - Article
C2 - 18226005
AN - SCOPUS:40849085209
SN - 0894-0959
VL - 21
SP - 171
EP - 173
JO - Seminars in Dialysis
JF - Seminars in Dialysis
IS - 2
ER -