Prevention of Contrast-Induced Nephropathy in Peritoneal Dialysis Patients

Pre-Procedural Measures

• The European Society of Cardiology recommends using low-osmolar or iso-osmolar contrast media in minimal necessary volumes to prevent contrast-induced nephropathy in patients undergoing angiography 1, 2
• The American College of Cardiology suggests calculating the contrast volume to creatinine clearance ratio to maintain it <3.7 to minimize the risk of nephropathy 3, 4

Contrast Removal and Dialysis

• The American Heart Association notes that while peritoneal dialysis can remove contrast media from the body, it is not recommended as a routine measure to prevent contrast-induced nephropathy, as the damage occurs rapidly after contrast administration 5

Patient Management

• The European Heart Journal recommends administering hydration with isotonic saline solution before, during, and after contrast exposure to prevent nephropathy 1, 2
• The American College of Cardiology advises monitoring renal function residual (FRR) at 7 days and 4 weeks after contrast exposure to detect potential nephropathy 3, 4