REVIEWS
IMAJ | volume 25
Journal 10, October 2023
pages: 713-715
Contrast Agent Induced Nephropathy Following Computed Tomography in Patients with Advanced Chronic Kidney Disease: Myth or Reality?
1 Department of Medicine, Hadassah Hebrew University Hospital, Mt. Scopus, Jerusalem, Israel
2 Department of Medicine D, Rambam Health Care Campus, Haifa, Israel
3 Rappaport Faculty of Medicine, Technion–Israel Institute of Technology, Haifa, Israel
4 Department of Physiology and Biophysics, Rappaport Faculty of Medicine, Technion–Israel Institute of Technology, Haifa, Israel
Summary
Recent studies using propensity score matching have clearly indicated that contrast nephropathy following computed tomography occurs in hospitalized patients with advanced chronic kidney disease (eGFR < 30 ml/min/1.73 m2) and that this iatrogenic complication is likely underestimated because of concomitant renal functional recovery, unrelated to the imaging procedure. These findings should be considered regarding contrast-enhanced studies in such patients.