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?
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Do you ever defer otherwise clinically indicated contrasted CT scans out of concern for contrast-induced nephropathy (CIN)?
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1 Answer
Mednet MemberInvited Expert
Hospital Medicine · Washington University
Answered on
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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