Keywords:
CT, Kidney, Contrast agents, Laboratory tests, Drugs / Reactions
Authors:
A. Wibmer1, R. Nolz1, G. Heinz-Peer2; 1Wien/AT, 2St. Pölten/AT
DOI:
10.1594/ecr2013/C-2669
Purpose
Impaired renal excretory function is the most significant risk factor for contrast induced nephropathy (CIN) and nephrogenic systemic fibrosis (NSF).
Thus,
measurement of serum creatinine and calculation of estimated glomerular filtration rate (eGFR) is mandatory before administration of iodinated or Gd-based contrast agents,
especially in high-risk patients.
As routine laboratory creatinine measurement is a time-consuming procedure especially in radiologic practice and in an out-patient setting,
it would be desirable to have a fast and reliable tool for point-of-care (POC) creatinine measurement.
The StatSensor® Creatinine Hospital Meter (Nova Biomedical,
Cheshire,
UK) is a handheld analyzer for whole blood creatinine testing.
It allows POC measurement of creatinine of arterial,
venous or capillary blood and consecutive calculation of eGFR.
The aim of this prospective clinical trial was to test its diagnostic reliability in a routine clinical setting of a radiologic department with in- and out-patient service.