Problems of hydration during and after angiography

We investigated to decide proper transfusion solution and its dose during and after angiographic and interventional procedure by administration of lactate Ringer's solution, 5 % glucose, one-third hypotonic solution and plasma expander. RBC, Hb, WBC, BUN, Creatinine, serum Na+, K+, Cl-, osmolality and urinary Na+, K+, Cl-, osmolality were measured at the beginning of angiographic procedure (pre), at the end (post) and when transfusion finished following day (Next day). The patients were divided into two groups, 32 cases undergoing diagnostic angiography as group 1 and 13 cases undergoing interventional procedure (one-shot arterial infusion and/or transcatheter arterial embolization) as group 2. Our conclusions are follows: 1) In this investigation, there was no statistical significance between group 1 and group 2. And it was suggested that each transfusion solution had no effect to the body. 2) In both groups, WBC increased statistically next day comparing with pre and post procedure (p < 0.01). The cause of it was thought to be ''Marginal pool shift''. 3) In order to prevent acute renal failure following angiography, it is important to administer enough dose of transfusion during and after (if possible before) the procedure, and to get enough urine output. 4) But, plasma expander is unsuitable for transfusion solution during angiographic and interventional procedure, and it has not to be used without consideration of the indication. (author)