Elimination of non-ionic contrast medium by hemodialysis in patients with impaired renal function

Nihon Ika Daigaku Zasshi. 1999 Oct;66(5):305-7. doi: 10.1272/jnms.66.305.

Abstract

The elimination rate of iohexol, a non-ionic contrast medium, from the blood by hemodialysis, and the elimination rate of iohexol by a dialyzer were studied in 15 patients with chronic renal dysfunction who required angiography or enhanced CT. The elimination rate of iohexol was 19.8% at 15 min after the start of hemodialysis, 30.6% after 30 min, 44.2% after 1 hour, 62.1% after 2 hours and 72.9% after 3 hours. The dialyzer elimination rate was maintained at about 75% from 1 to 3 hours after the start of hemodialysis. If only about 70% of iohexol in the blood needs to be eliminated, hemodialysis for 3 hours with a blood flow rate of 120 ml/min and a dialysate flow of 500 ml/min using a 0.7 m2 cellulose triacetate membrane is sufficient.

MeSH terms

  • Contrast Media / isolation & purification*
  • Contrast Media / pharmacokinetics
  • Female
  • Humans
  • Iohexol / isolation & purification*
  • Iohexol / pharmacokinetics
  • Kidney Failure, Chronic / metabolism*
  • Male
  • Renal Dialysis*
  • Time Factors

Substances

  • Contrast Media
  • Iohexol