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Iohexol clearance for GFR-determination in renal failure - single or multiple plasma sampling?

Sterner, Gunnar LU ; Frennby, Bo LU ; Hultberg, Björn LU and Almén, Torsten LU (1996) In Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association 11(3). p.521-525
Abstract
The present study examined the agreement between single and multiple sample plasma clearance of iohexol, a non-ionic contrast agent, in renal failure. Sixty-five patients with varying degree of renal insufficiency received 10 ml iohexol (300 mg I/ml) i.v. and plasma samples were collected four times during the following 3-24 h. Plasma-iodine concentrations were determined by X-ray fluorescence. Predicted creatinine clearance was used to choose one of the samples for determination of single sample clearance. A single plasma specimen collected at 4 h for GFR above 50 ml/min, at 7 h for GFR between 20 and 50 ml/min, and at 24 h for GFR below 20 ml/min gave values in good agreement with those based on a four sample slope clearance. No sign of... (More)
The present study examined the agreement between single and multiple sample plasma clearance of iohexol, a non-ionic contrast agent, in renal failure. Sixty-five patients with varying degree of renal insufficiency received 10 ml iohexol (300 mg I/ml) i.v. and plasma samples were collected four times during the following 3-24 h. Plasma-iodine concentrations were determined by X-ray fluorescence. Predicted creatinine clearance was used to choose one of the samples for determination of single sample clearance. A single plasma specimen collected at 4 h for GFR above 50 ml/min, at 7 h for GFR between 20 and 50 ml/min, and at 24 h for GFR below 20 ml/min gave values in good agreement with those based on a four sample slope clearance. No sign of nephrotoxicity was noted after administration of the contrast agent. It is concluded that single sample plasma clearance after single injection of iohexol gives a good estimate of GFR in renal failure and is advantageous in clinical practice. (Less)
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author
; ; and
publishing date
type
Contribution to journal
publication status
published
in
Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
volume
11
issue
3
pages
521 - 525
publisher
Oxford University Press
external identifiers
  • pmid:8671824
  • scopus:0029974497
ISSN
1460-2385
DOI
10.1093/ndt/11.3.521
language
English
LU publication?
no
id
47a83a06-9233-450c-b6c1-d4014beef1f2
date added to LUP
2019-10-27 15:47:56
date last changed
2022-02-01 01:34:00
@article{47a83a06-9233-450c-b6c1-d4014beef1f2,
  abstract     = {{The present study examined the agreement between single and multiple sample plasma clearance of iohexol, a non-ionic contrast agent, in renal failure. Sixty-five patients with varying degree of renal insufficiency received 10 ml iohexol (300 mg I/ml) i.v. and plasma samples were collected four times during the following 3-24 h. Plasma-iodine concentrations were determined by X-ray fluorescence. Predicted creatinine clearance was used to choose one of the samples for determination of single sample clearance. A single plasma specimen collected at 4 h for GFR above 50 ml/min, at 7 h for GFR between 20 and 50 ml/min, and at 24 h for GFR below 20 ml/min gave values in good agreement with those based on a four sample slope clearance. No sign of nephrotoxicity was noted after administration of the contrast agent. It is concluded that single sample plasma clearance after single injection of iohexol gives a good estimate of GFR in renal failure and is advantageous in clinical practice.}},
  author       = {{Sterner, Gunnar and Frennby, Bo and Hultberg, Björn and Almén, Torsten}},
  issn         = {{1460-2385}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{521--525}},
  publisher    = {{Oxford University Press}},
  series       = {{Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association}},
  title        = {{Iohexol clearance for GFR-determination in renal failure - single or multiple plasma sampling?}},
  url          = {{http://dx.doi.org/10.1093/ndt/11.3.521}},
  doi          = {{10.1093/ndt/11.3.521}},
  volume       = {{11}},
  year         = {{1996}},
}