Risk of Renal Failure After Major Angiography

Vicente Martin-Paredero, Sherwood M. Dixon, J. Dennis Baker, Howard Takiff, Antoinette S. Gomes, Ronald W. Busuttil, Wesley S. Moore

Research output: Contribution to journalArticlepeer-review

122 Scopus citations


• In 400 patients who underwent major aortography, acute renal dysfunction (ARD) occurred in 11.3%. Of the group with normal renal function before the procedure, 8.2% had ARD and 0.8% required dialysis. Patients with prior abnormal renal function had a 41.7% incidence of ARD, and 8.3% required dialysis as a result of angiography. Vigorous intravenous hydration was used in all patients but did not completely prevent renal problems. Two risk factors not previously emphasized were the injection site (higher risk with abdominal aortic studies) and presence of congestive heart failure requiring treatment with digoxin. Other notable risk factors included contrast load and age. These results emphasized that even with modern contrast agents and application of current concepts of treatment, there remains a risk of renal injury with major angiography.

Original languageEnglish (US)
Pages (from-to)1417-1420
Number of pages4
JournalArchives of Surgery
Issue number12
StatePublished - Dec 1983

ASJC Scopus subject areas

  • Surgery


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