大動脈撮影および選択的腎動脈撮影による腎障害について

Abstract

In the Urological Department of Kyoto Municipal Hospital, aortography or selective renal arteriography was performed in thirty-six patients, and five showed abnormally elevated BUN after the examination which returned to normal in two weeks. A survey of these cases disclosed that they had had BUN higher than normal even before arteriography. In the Urological Department of Kyoto Municipal Hospital, aortography or selective renal arteriography was performed in thirty-six patients, and five showed abnormally elevated BUN after the examination which returned to normal in two weeks. A survey of these cases disclosed that they had had BUN higher than normal even before arteriography. No patients with normal renal function showed high BUN after the examination. Nephrotoxicity of any particular contrast dye could not be suggested. Clinically, in the cases of impaired renal function, aortography or selective renal arteriography tends to cause azotemia; therefore, operation on these patients immediately after the examination should be considered with this fact in mind.