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Radiocontrast-induced nephropathy, is becoming increasingly common cause of Acute kidney injury (AKI).The aim of the present prospective study was to find out the incidence and outcome of CIN in patients undergoing coronary angiography. Over a one year period [2014]. At al-Assad university Hospital-Syria. 54 patients , satisfied the criteria for entering into the study.Median age was 56 yr All were followed for development of acute renal failure. The incidence was found to be 22.2 % .12 developed some evidence of acute renal failure .4 required dialysis acutely. There were 2 deaths. and pre existing renal impairment is one of the risk factors for developing contrast induced nephropathy. Serum Creatinine should be measured routinely in all patients who are scheduled form coronary angiography.
Kidney Injury Molecule-1 (KIM-1) is a type 1 transmembrane glycoprotein. KIM-1 is highly up regulated in proximal tubular cells following kidney injury. It consists of an extracellular portion, a novel 6-cysteine immunoglobulin-like domain, 2 N-gl ycosylation sites, also contains one transmembrane domain and a short cytoplasmic domain with a conservative tyrosine phosphorylation site.
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