Contrast-Induced Acute Kidney Injury (CIAKI)

Injury to the kidney continues to occur following the administration of intravascular iodinated contrast media. In this article, the author reviews the pathophysiology of contrast-induced acute kidney injury (CIAKI), the relationship of CIAKI to long-term adverse outcomes, what type of patients are at risk of CIAKI, and how the diagnosis is made. After discussion of the reported incidence of CIAKI, an approach to prevention is briefly reviewed.

Keywords: Contrast, Acute kidney injury, Creatinine, Risk factors, Prophylaxis

a Department of Medicine, University of Vermont School of Medicine, 1 South Prospect Street, Burlington, VT 05401, USA

b Division of Hypertension and Nephrology, Fletcher Allen Health Care, Burlington, VT 05401, USA

Corresponding author. Department of Medicine, University of Vermont School of Medicine, 1 South Prospect Street, Burlington, VT 05401.

Consulting agreements – Bracco Diagnostics, Inc; Covidien.

PII: S0033-8389(09)00095-5

doi:10.1016/j.rcl.2009.06.001

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