Review Article

Is Contrast Medium Osmolality a Causal Factor for Contrast-Induced Nephropathy?

Table 1

Meta-analyses for CIN comparison of LOCM* versus IOCM** (mainly I.A.).

Authors (date)Search resultsAnalyzed trialsTotal patientsDates includedAgent superiority

Solomon (2005), [10]1,594171,3651991–2004LOCM = IOCM > Iohexol
McCullough et al. (2006), [11] Iohexol database 162,7271991–2003IOCM > LOCM
Heinrich et al. (2009), [12]926253,2701950–2007LOCM = IOCM > Iohexol
From et al. (2010), [13] 112 (abstracts) 367,1661966–2009IOCM ≥ LOCM

LOCM: low osmolality contrast media.
IOCM: iso-osmolar contrast media.