Contrast-Induced Nephropathy: Balancing the Risks

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      4 Renal & Urology News               APRIL 2009                                                                                                     www.renalandurologynews.com




             FROM THE MEDICAL DIRECTOR


                                                                                           EDITO RIAL ADVISO RY BOARD

          Contrast-Induced Nephropathy:                                               Robert G. Uzzo, MD, FACS
                                                                                      G. Willing Pepper Chairman,
                                                                                                                                                            Kamyar Kalantar-Zadeh, MD, PhD, MPH
                                                                                                                                                            Associate professor of medicine
          Balancing the Risks                                                         Department of Surgery,
                                                                                      Member in Urologic Oncology,
                                                                                      Fox Chase Cancer Center,
                                                                                                                                                            and pediatrics and Director,
                                                                                                                                                            Dialysis Expansion & Epidemiology,
                                                                                                                                                            Harbor-UCLA Division of
                                                                                      Philadelphia                                                          Nephrology & Hypertension,



          A
                    ccurate anatomic cross-sectional                                                                                                        Los Angeles BioMedical Research
                                                                                                                                                            Institute, The David Geffen School of
                    imaging technologies rank highly                                                                                                        Medicine at the University of California,
                    among the most significant med-                                                                                                         Los Angeles
          ical achievements of the past three decades.                                Urologists                                                            Nephrologists
          Both CT and MRI have improved diag-                                         Frank R. Cerniglia Jr, MD                                             Suphamai Bunnapradist, MD
          nostics immeasurably and, for better or                                     Attending pediatric urologist                                         Director of research
                                                                                      Children’s Urology of Virginia                                        Department of Nephrology
          worse, largely supplanted physical exami-                                   Richmond, Va.                                                         Kidney Transplant Research Center
          nation as the critical keystone for develop-                                                                                                      The David Geffen School of Medicine
                                                                                      Christopher S. Cooper, MD
                                                                                                                                                            at UCLA
                                                                                      Director, Pediatric Urology
          ing a therapeutic strategy for most maladies.                               Children’s Hospital of Iowa                                           Garabed Eknoyan, MD
          Although noncontrast images sometimes                                       Iowa City                                                             Professor of medicine
                                                                                                                                                            Baylor College of Medicine
                                                                                      Michael Grasso, MD
          suffice, the addition of appropriately timed                                Chairman, Department of Urology
                                                                                                                                                            Houston
          post-contrast imaging is critical to the diagnosis of many                  Saint Vincent’s Catholic Medical Centers                              Csaba P. Kovesdy, MD
                                                                                      New York City                                                         Assistant professor of
          structural and neoplastic kidney diseases. Unfortunately, as many           R. John Honey, MD
                                                                                                                                                            clinical internal medicine,
                                                                                                                                                            University of Virginia,
          as 26% or more of patients presenting with a renal mass and sus-            Head, Division of Urology,
                                                                                                                                                            Charlottesville
                                                                                      Endourology/Kidney Stone Diseases
          pected of having renal cell carcinoma have CKD preoperatively               St. Michael’s Hospital
                                                                                                                                                            Chief of nephrology
                                                                                                                                                            Salem VA Medical Center,
          (Lancet Oncology. 2006;7:735-740), underscoring the clinical dilem-         University of Toronto
                                                                                                                                                            Salem, Va.
                                                                                      Stanton Honig, MD
          ma of how to best balance the risk of contrast-induced nephrop-             Associate clinical professor of
                                                                                                                                                            Allen Nissenson, MD
                                                                                                                                                            Professor of medicine and
          athy (CIN) and nephrogenic systemic fibrosis (NSF) in patients              surgery/urology
                                                                                                                                                            Director, Dialysis Program
                                                                                      University of Connecticut
                                                                                                                                                            The David Geffen
          with compromised renal function. In this issue of Renal & Urology           School of Medicine, Urology Center
                                                                                                                                                            School of Medicine
                                                                                      New Haven
          News, Sankar D. Navaneethan, MD, MPH, from Cleveland Clinic,                                                                                      at UCLA
                                                                                      J. Stephen Jones, MD, FACS
          offers a concise review on prevention of CIN from his research team’s       Chairman                     
				
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