Iodinated contrast medium: Is there a re(n)al problem? A clinical
By A Mystery Man Writer
Last updated 17 Jun 2024
![Iodinated contrast medium: Is there a re(n)al problem? A clinical](https://media.springernature.com/m685/springer-static/image/art%3A10.1186%2Fs13054-020-03365-9/MediaObjects/13054_2020_3365_Fig1_HTML.png)
As we were taught, for decades, that iodinated contrast-induced acute kidney injury should be dreaded, considerable efforts were made to find out effective measures in mitigating the renal risk of iodinated contrast media. Imaging procedures were frequently either downgraded (unenhanced imaging) or deferred as clinicians felt that the renal risk pertaining to contrast administration outweighed the benefits of an enhanced imaging. However, could we have missed the point? Among the abundant literature about iodinated contrast-associated acute kidney injury, recent meaningful advances may help sort out facts from false beliefs. Hence, there is increasing evidence that the nephrotoxicity directly attributable to modern iodinated CM has been exaggerated. Failure to demonstrate a clear benefit from most of the tested prophylactic measures might be an indirect consequence. However, the toxic potential of iodinated contrast media is well established experimentally and should not be overlooked completely when making clinical decisions. We herein review these advances in disease and pathophysiologic understanding and the associated clinical crossroads through a typical case vignette in the critical care setting.
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Contrast Media - FV Hospital
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PDF) Contrast-induced nephropathy: are there differences between
![Iodinated contrast medium: Is there a re(n)al problem? A clinical](https://www.researchgate.net/profile/Rohit-Loomba-2/publication/256189491/figure/fig2/AS:388154260508672@1469554595333/Forest-plot-demonstrating-change-in-creatinine-levels-precatheterization-and-48-hour.png)
Forest plot demonstrating change in creatinine levels
![Iodinated contrast medium: Is there a re(n)al problem? A clinical](https://healthmanagement.org/uploads/Francis-Zarb-T3.jpg)
Iodinated Contrast Media: Risks and Best Practice
![Iodinated contrast medium: Is there a re(n)al problem? A clinical](https://ajronline.org/cms/10.2214/AJR.05.0407/asset/images/table_02.jpeg)
IV Contrast Administration for CT: A Survey of Practices for the
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Stratified assessment and warning regimen for prevention of acute
![Iodinated contrast medium: Is there a re(n)al problem? A clinical](https://www.researchgate.net/publication/282149683/figure/tbl1/AS:675120561524751@1537972693304/Patients-with-a-25-increase-in-P-creatinine-postcontrast-acute-kidney-injury-after.png)
Patients with a 25% increase in P-creatinine (postcontrast acute
![Iodinated contrast medium: Is there a re(n)al problem? A clinical](https://pubs.rsna.org/cms/10.1148/radiol.2019190485/asset/images/medium/radiol.2019190485.va.gif)
Hypersensitivity Reactions to Iodinated Contrast Media: A
![Iodinated contrast medium: Is there a re(n)al problem? A clinical](https://radiologykey.com/wp-content/uploads/2016/02/B9780702029820000029_t0005a.jpg)
Intravascular contrast media
![Iodinated contrast medium: Is there a re(n)al problem? A clinical](https://slideplayer.com/slide/5846095/19/images/6/Commonly+used+iodinated+contrast+agents.jpg)
Contrast medium. - ppt video online download
![Iodinated contrast medium: Is there a re(n)al problem? A clinical](https://ajronline.org/cms/10.2214/AJR.09.4150/asset/images/08_09_4150_06c.jpeg)
Effect of IV Contrast Medium on Renal Function in Oncologic
![Iodinated contrast medium: Is there a re(n)al problem? A clinical](https://www.researchgate.net/publication/320744098/figure/fig3/AS:555701905100800@1509501066514/Diagnostic-performance-of-baseline-values-of-the-serum-urea-creatinine-ratio-in.png)
Diagnostic performance of baseline values of the serum urea
![Iodinated contrast medium: Is there a re(n)al problem? A clinical](https://www.ahajournals.org/cms/asset/08b80433-9869-451e-bfaf-d016cb742947/jah32273-fig-0005.gif)
Acute Kidney Injury After Primary Angioplasty: Is Contrast‐Induced
![Iodinated contrast medium: Is there a re(n)al problem? A clinical](https://www.uspharmacist.com/CMSImagesContent/2008/12/USP0812SeniorCareT1.jpg)
Contrast-Induced Nephropathy
![Iodinated contrast medium: Is there a re(n)al problem? A clinical](https://ajronline.org/cms/10.2214/AJR.09.4150/asset/images/08_09_4150_06b.jpeg)
Effect of IV Contrast Medium on Renal Function in Oncologic
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