Contrast-Induced Nephropathy: Managing At-Risk Patients

The administration of iodinated contrast media (CM) is a standard component of many computed tomography (CT) examinations. The large number of procedures performed each year and the infrequency of adverse events attests to the safety of CM. However, a small number of patients experience adverse events that are directly related to the CM or the procedure being performed. In this chapter, we examine the issue of renal toxicity. Objectives of this review include recognizing the patients at risk for renal complications following CM administration and understanding strategies to minimize the risk in those who will receive CM.