It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Kidney Disorders Message Board
Post New Thread   Reply Reply
LinkBack Thread Tools
Old 02-02-2013, 08:00 PM   #1
Newbie
(female)
 
Join Date: Sep 2005
Posts: 7
Char9956 HB User
should I worry?

I have CKD with a GFR of 57 and creatinine of 1.40. I am scheduled to have a CTA with contrast dye. I will be hydrated before and after. Is this still a risk?
I know the dye can be toxic to the kidney.

 
Reply With Quote
Old 02-03-2013, 01:26 PM   #2
Senior Veteran
(female)
 
Join Date: Jan 2005
Location: Canada
Posts: 2,749
Cora1003 HB UserCora1003 HB UserCora1003 HB UserCora1003 HB UserCora1003 HB UserCora1003 HB UserCora1003 HB UserCora1003 HB UserCora1003 HB UserCora1003 HB UserCora1003 HB User
Re: should I worry?

There is some risk, but it is slight. Is it absolutely necessary to have the contrast? What is the ct for? Personally, with my transplanted kidney I don't take the risk. But it depends on what you need the ct for.
__________________
Cora
Dxd T1 1966, 2001 dialysis, 2002 kidney transplant, 2003 insulin pump, 2008 pancreas transplant

 
Reply With Quote
Sponsors Lightbulb
   
Old 02-03-2013, 04:58 PM   #3
Newbie
(female)
 
Join Date: Sep 2005
Posts: 7
Char9956 HB User
Re: should I worry?

Cora, the cta scan is to decide if I need coronary artery surgery. A ultrasound showed a 80 percent blockage. The dye makes it much easier for the surgeon to see where the blockage is. I thinks I scare myself reading to many sites about side effects of contrast dye. Thank you for taking the time to answer me. I should add that my primary care Doctor said I would be fine especially with the hydration.

 
Reply With Quote
Old 03-05-2013, 07:56 AM   #4
Newbie
(female)
 
Join Date: Sep 2005
Posts: 7
Char9956 HB User
Re: should I worry?

question to my own thread...My GFR came back as 66, which would be a rise from 57 in 2 months. How is this possible? Has any one had this experience?

 
Reply With Quote
Old 03-05-2013, 08:02 AM   #5
Newbie
(female)
 
Join Date: Sep 2005
Posts: 7
Char9956 HB User
Re: should I worry?

Quote:
Originally Posted by Cora1003 View Post
There is some risk, but it is slight. Is it absolutely necessary to have the contrast? What is the ct for? Personally, with my transplanted kidney I don't take the risk. But it depends on what you need the ct for.
Cora, It is for a blocked artery in my neck. It is for surgery to remove any blockage found by the cta. My concern is the sharp rise in GFR from 57 to 66 in 2 months. Now the hospital will not do the 2 hour hydration.

 
Reply With Quote
Old 03-05-2013, 09:46 AM   #6
Senior Veteran
(female)
 
Join Date: Jan 2005
Location: Canada
Posts: 2,749
Cora1003 HB UserCora1003 HB UserCora1003 HB UserCora1003 HB UserCora1003 HB UserCora1003 HB UserCora1003 HB UserCora1003 HB UserCora1003 HB UserCora1003 HB UserCora1003 HB User
Re: should I worry?

I would put in a request for the hydration. Do you see a nephrologist and can you get him/her to ask for it? You can cite the fluctuating eGFR as a reason. As for the rise, this can happen for many reasons including a decrease in exercise and an increase in hydration. GFR is calculated based on your creatinine and estimated size. So it's not always that accurate.

If you can't get the iv, spend the couple of days previous to the procedure working on stuffing yourself with non-caffeinated fluids. Hope this helps a bit. Don't worry too much about the dye. If you are not too susceptible, it won't affect you anyway, and if you are, your function is still most likely good enough to keep you safe. Sorry I can't be more specific than that, but these things are always a risk.
__________________
Cora
Dxd T1 1966, 2001 dialysis, 2002 kidney transplant, 2003 insulin pump, 2008 pancreas transplant

 
Reply With Quote
Old 03-05-2013, 11:41 AM   #7
Senior Veteran
(female)
 
ladybud's Avatar
 
Join Date: Jun 2012
Location: Colorado
Posts: 4,909
ladybud HB Userladybud HB Userladybud HB Userladybud HB Userladybud HB Userladybud HB Userladybud HB Userladybud HB Userladybud HB Userladybud HB Userladybud HB User
Re: should I worry?

EGFRs do fluctuate, and the 66 is an improved level over the 57. Since the CTA is needed for a potentially life threatening problem, in my mind, that takes priority. I think your kidneys will be fine, as your Dr said, and just hydrating yourself with liquids before the test should take care of it. Your kidney function isn't bad enough to fear a crisis brought on by contrast dye.

 
Reply With Quote
Reply Reply




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added








TOP THANKED CONTRIBUTORS



Cora1003 (83), ladybud (22), writeleft (11), Deanne1962 (8), sweetfemale (6), montesflus (4), feelbad (3), lady1954 (3), grayfox (3), leea1206 (3)

Site Wide Totals

teteri66 (1180), MSJayhawk (1005), Apollo123 (906), Titchou (850), janewhite1 (823), Gabriel (759), ladybud (755), midwest1 (669), sammy64 (668), BlueSkies14 (607)



All times are GMT -7. The time now is 02:45 PM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!