Assessing the Risk of Contrast-Induced Nephropathy Using a Finger Stick Analysis in Recalls from Breast Screening: The CINFIBS Explorative Study
Joint Authors
Lobbes, M. B. I.
Wildberger, Joachim E.
Houben, I. P. L.
van Berlo, C. J. L. Y.
Bekers, O.
Nijssen, E. C.
Source
Contrast Media & Molecular Imaging
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-09-11
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Purpose.
To evaluate whether a handheld point-of-care (POC) device is able to predict and discriminate patients at potential risk of contrast-induced nephropathy (CIN) prior to iodine-based contrast media delivery.
Methods and Materials.
Between December 2014 and June 2016, women undergoing contrast-enhanced spectral mammography (CESM) with an iodine-based contrast agent were asked to have their risk of CIN assessed by a dedicated POC device (StatSensor CREAT) and a risk factor questionnaire based on national guidelines.
Prior to contrast injection, a venous blood sample was drawn to compare the results of POC with regular laboratory testing.
Results.
A total of 351 patients were included; 344 were finally categorized as low risk patients by blood creatinine evaluation.
Seven patients had a eGFR below 60 ml/min/1.73 m2, necessitating additional preparation prior to contrast delivery.
The POC device failed to categorize six out of seven patients (86%), leading to (at that stage) unwanted contrast administration.
Two patients subsequently developed CIN after 2–5 days, which was self-limiting after 30 days.
Conclusion.
The POC device tested was not able to reliably assess impairment of renal function in our patient cohort undergoing CESM.
Consequently, we still consider classic clinical laboratory testing preferable in patients at potential risk for developing CIN.
American Psychological Association (APA)
Houben, I. P. L.& van Berlo, C. J. L. Y.& Bekers, O.& Nijssen, E. C.& Lobbes, M. B. I.& Wildberger, Joachim E.. 2017. Assessing the Risk of Contrast-Induced Nephropathy Using a Finger Stick Analysis in Recalls from Breast Screening: The CINFIBS Explorative Study. Contrast Media & Molecular Imaging،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1141788
Modern Language Association (MLA)
Houben, I. P. L.…[et al.]. Assessing the Risk of Contrast-Induced Nephropathy Using a Finger Stick Analysis in Recalls from Breast Screening: The CINFIBS Explorative Study. Contrast Media & Molecular Imaging No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1141788
American Medical Association (AMA)
Houben, I. P. L.& van Berlo, C. J. L. Y.& Bekers, O.& Nijssen, E. C.& Lobbes, M. B. I.& Wildberger, Joachim E.. Assessing the Risk of Contrast-Induced Nephropathy Using a Finger Stick Analysis in Recalls from Breast Screening: The CINFIBS Explorative Study. Contrast Media & Molecular Imaging. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1141788
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1141788