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Nephrology • Hospital Medicine • Primary Care • General Primary Care • General Hospital Medicine
How do you reconcile the risk of contrast-induced nephropathy (CIN) with the diagnostic benefit of contrasted CT in patients with AKI/CKD?
Does your approach change with venous vs arterial contrast?
Answer from: at Academic Institution
Overall, the risk of contrast-induced nephropathy is much less than what we fear. In many studies, we underutilize CT because we're concerned about contrast-induced nephropathy. If there is a good reason to get the CT with contrast, then I think it should be done. And just monitor Cr.
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