Chronic Kidney Disease
9 min read
Before your CT, cardiac cath or MRI: iodinated and gadolinium contrast — risks, prevention and the questions kidney patients should ask
Contrast media are one of the commonest sources of avoidable kidney injury for people with CKD. Based on the KDIGO 2012 AKI guideline and the ACR Manual on Contrast Media: iodinated-contrast risk by eGFR, the three pillars of prevention (hydration, dose, no NSAIDs), whether to stop metformin, group I vs group II gadolinium agents and nephrogenic systemic fibrosis, plus the newer evidence that risk was overestimated — and its limits.
