Table 2.
Strategies to reduce the development of contrast-induced nephropathy. Preventive strategies against contrast-induced nephropathy (CIN) are presented, taking into account patient- and procedure-related risk factors and CIN pathophysiology. * Hydration is a patient-, procedure-, and pathophysiology-related preventive strategy against CIN.
| Patient-related | Risk stratification of individual patients Evaluate and correct patient’s volume status Correct modifiable factors including cessation of nephrotoxic drugs |
| Procedure-related | Use low-osmolar or iso-osmolar contrast media Minimize the volume of contrast media - limit maximum contrast volume - consider the interval of contrast administration |
| Pathophysiology-related | Hydration * Pharmaceutical agents targeting pathogenic process including oxidative stress |