@article{269300bb35d84ae5bd31bfd59037877e,
title = "Use of Intravenous Iodinated Contrast Media in Patients With Kidney Disease: Consensus Statements from the American College of Radiology and the National Kidney Foundation",
abstract = "Intravenous iodinated contrast media are commonly used with CT to evaluate disease and to determine treatment response. The risk of acute kidney injury (AKI) developing in patients with reduced kidney function following exposure to intravenous iodinated contrast media has been overstated. This is due primarily to historic lack of control groups sufficient to separate contrast-induced AKI (CI-AKI; ie, AKI caused by contrast media administration) from contrast-associated AKI (CA-AKI; ie, AKI coincident to contrast media administration). Although the true risk of CI-AKI remains uncertain for patients with severe kidney disease, prophylaxis with intravenous normal saline is indicated for patients who have AKI or an estimated glomerular filtration rate less than 30 mL/min/1.73 m2 who are not undergoing maintenance dialysis. In individual high-risk circumstances, prophylaxis may be considered in patients with an estimated glomerular filtration rate of 30–44 mL/min/1.73 m2 at the discretion of the ordering clinician.",
author = "Davenport, {Matthew S.} and Perazella, {Mark A.} and Jerry Yee and Dillman, {Jonathan R.} and Derek Fine and McDonald, {Robert J.} and Rodby, {Roger A.} and Wang, {Carolyn L.} and Weinreb, {Jeffrey C.}",
note = "Funding Information: Guarantor of integrity of entire study: MSD. Study concepts/study design or data acquisition or data analysis/interpretation: all authors. Manuscript drafting or manuscript revision for important intellectual content: all authors. Approval of final version of submitted manuscript: all authors. Agrees to ensure any questions related to the work are appropriately resolved: all authors. Literature research: all authors. Clinical studies: MAP, RAR. Manuscript editing: all authors. Dr Davenport: Activities related to the present article: disclosed no relevant relationships. Activities not related to the present article: receives royalties from UpToDate and Wolters Kluwer. Other relationships: disclosed no relevant relationships. Dr Perazella disclosed no relevant relationships. Dr Yee disclosed no relevant relationships. Dr Dillman: Activities related to the present article: institution received grant from Bracco Diagnostics. Activities not related to the present article: has grants/grants pending with Canon Medical Solutions, Perspectum Diagnostics, and Siemens Medical Solutions. Other relationships: disclosed no relevant relationships. Dr Fine disclosed no relevant relationships. Dr McDonald: Activities related to the present article: author is scientific advisor for GE Healthcare; institution received research funding from GE Healthcare. Activities not related to the present article: disclosed no relevant relationships. Other relationships: disclosed no relevant relationships. Dr Rodby disclosed no relevant relationships. Dr Wang disclosed no relevant relationships. Dr Weinreb Activities related to the present article: received a consulting fee or honorarium from Bayer Healthcare and Bracco Diagnostics. Activities not related to the present article: received payment from Ascelia Pharma for research. Other relationships: disclosed no relevant relationships. This article is a simultaneous joint publication in Radiology and Kidney Medicine. The articles are identical except for stylistic changes in keeping with each journal's style. Either of these versions may be used in citing this article. These statements are endorsed by the American College of Radiology and the National Kidney Foundation to improve and standardize the care of patients with impaired kidney function who have indication(s) to receive intravenous iodinated contrast media. Received September 13, 2019; revision requested October 8, 2019; final revision received October 28, 2019; accepted November 7, 2019. Publisher Copyright: {\textcopyright} 2020",
year = "2020",
month = jan,
day = "1",
doi = "10.1016/j.xkme.2020.01.001",
language = "English (US)",
volume = "2",
pages = "85--93",
journal = "Kidney Medicine",
issn = "2590-0595",
publisher = "Elsevier Inc.",
number = "1",
}