Review Article

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

Table 2

Clinical studies for CIN comparison of LOCM* versus IOCM** (mainly I.V.).

Authors (date)Patients evaluated
(originally included)
CIN
absolut1
(relative2)
LOCM
CIN
absolut1
(relative2)
IOCM
Agent superiority

Barrett et al. (2006), [14]153
(166)
0/77
(3/77)
2/76
(3/76)
LOCM = IOCM

Kuhn et al. (2008), [15]248
(264)

(6/123)

(7/125)
LOCM = IOCM

Thomsen et al. (2008), [16]148
(184)
0/76
(4/76)
5/72
(5/72)
LOCM > IOCM

Nguyen et al. (2008), [17]126
(117)
10/56
(15/56)
3/61
(5/61)
IOCM > LOCM

LOCM: low osmolality contrast media.
**IOCM: iso-osmolar contrast media.
SCr: serum creatinine.
CIN: contrast-medium induced nephropathy.
1SCr increase ≥0.5 mg/dL.
2SCr increase ≥25%.