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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 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 under utilize CT because we're concerned about contrast induced nephropathy. If there is good reason to get the CT with contrast then I think it should be done. And just monitor Cr.
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