Simplified procedure for the estimation of glomerular filtration rate following intravenous administration of iodixanol in cats

Am J Vet Res. 2012 Sep;73(9):1344-9. doi: 10.2460/ajvr.73.9.1344.

Abstract

Objective: To compare the use of a single-sample method involving IV administration of iodixanol with a multisample method involving inulin for the estimation of glomerular filtration rate (GFR) in cats.

Animals: 24 cats, including 15 healthy cats and 9 cats with naturally occurring renal diseases.

Procedures: Each cat was coadministered iodixanol (a nonionic contrast medium; dose providing 40 mg of I/kg) and inulin (50 mg/kg), IV, and blood samples were collected 60, 90, and 120 minutes later. Serum iodixanol and inulin concentrations were determined by means of high-performance liquid chromatography and colorimetry, respectively. Serum urea nitrogen and creatinine concentrations were also measured.

Results: Analysis of the data from healthy cats and cats with naturally occurring renal diseases revealed an excellent correlation between GFR values estimated by the multisample and single-sample methods with iodixanol. Likewise, GFR values estimated from the single-sample method with iodixanol were closely correlated with those calculated from the multisample method with inulin.

Conclusions and clinical relevance: For estimation of GFR in cats, use of a single-sample method with iodixanol, instead of a multisample procedure, may be an expedient tool in both clinical and research settings because of its benefits to patient well-being as a result of reduced stress associated with blood sample collection.

Publication types

  • Comparative Study

MeSH terms

  • Administration, Intravenous / veterinary
  • Animals
  • Blood Urea Nitrogen
  • Cat Diseases / blood
  • Cat Diseases / diagnosis
  • Cat Diseases / physiopathology*
  • Cats
  • Chromatography, High Pressure Liquid / veterinary
  • Contrast Media* / analysis
  • Creatinine / blood
  • Female
  • Glomerular Filtration Rate / physiology
  • Glomerular Filtration Rate / veterinary*
  • Kidney Diseases / blood
  • Kidney Diseases / diagnosis
  • Kidney Diseases / physiopathology
  • Kidney Diseases / veterinary*
  • Male
  • Regression Analysis
  • Triiodobenzoic Acids* / blood

Substances

  • Contrast Media
  • Triiodobenzoic Acids
  • Creatinine
  • iodixanol