Do the New Non-Ionic Contrast Agents Actually Cause Renal Failure?

July 15, 2013 by Scott Weingart Leave a Comment

This question is discussed in an excellent post on the ED Trauma and Critical Care blog. Amit reviews these four articles:

Newhouse, J. H. & RoyChoudhury, A. (2013). Quantitating Contrast Medium-induced Nephropathy: Controlling the Controls. Radiology, 267(1), 4–8. doi:10.1148/radiol.13122876
McDonald, J. S., McDonald, R. J., Comin, J., Williamson, E. E., Katzberg, R. W., Murad, H. M., & Kalimes, D. F. (2013). Frequency of acute Kidney injury Following intravenous contrast Medium administration: A Systematic Review and Meta-Analysis. Radiology, 267(1), 119–128. doi:10.1148/radiol.12121460/-/DC1
McDonald, R. J., McDonald, J. S., Bida, J. P., Carter, R. E., Fleming, C. J., Misra, S., et al. (2013). intravenous contrast Material–induced nephropathy: Causal or Coincident Phenomenon? Radiology, 267, 106–118. doi:10.1148/radiol.12121823/-/DC1
Davenport, M. S., Khalatbari, S., Dillman, J. R., Cohan, R. H., Caoili, E. M., & Ellis, J. H. (2013). Contrast Material-induced Nephrotoxicity and Intravenous Low-Osmolality Iodinated Contrast Material. Radiology, 267(1), 94–105. doi:10.1148/radiol.12121394

His conclusion…Probably not. It is probably merely association. But click over to his post and read it all.

Update

About
Latest Posts

Scott Weingart

An ED Intensivist from NY.

Latest posts by Scott Weingart (see all)

EMCrit Podcast 242 – ED Nephrology with Joel Topf aka KidneyBoy - March 9, 2019
EMCrit Podcast 241 – Sepsis Update 2019 - February 21, 2019
EMCrit Podcast 240 – Renal Compartment Syndrome & It's all about the Venous Side and We've Been Fracking it up for Years - February 10, 2019

Cite this post as:

Scott Weingart. Do the New Non-Ionic Contrast Agents Actually Cause Renal Failure?. EMCrit Blog. Published on July 15, 2013. Accessed on March 22nd 2019. Available at [https://emcrit.org/emcrit/contrast-induced-nephropathy/ ].

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