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

Arch Surg. 1983;118(12):1417-1420.

Abstract
• 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.

(Arch Surg 1983;118:1417-1420)

Author Affiliations
From the Vascular Surgery Section (Drs Martin-Paredero, Dixon, Baker, Takiff, Busuttil, and Moore) and Department of Radiology (Dr Gomes), UCLA School of Medicine, Los Angeles.

Footnotes
Accepted for publication July 19, 1983.

Read before the Annual Meeting of the Southern California Chapter of the American College of Surgeons, Rancho Mirage, Calif, Jan 16, 1983.

Reprint requests to Department of Surgery, UCLA School of Medicine, Los Angeles, CA 90024 (Dr Baker).

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