Copyright ©The Author(s) 2017.
World J Radiol. Sep 28, 2017; 9(9): 339-349
Published online Sep 28, 2017. doi: 10.4329/wjr.v9.i9.339
Table 7 Strategies for safe clinical practice of contrast media to reduce risk for renal complications in patients with renal problems
Patients with SCr ≥ 2 g/dL and/or eGFR ≤ 60 mL/min per 1.73 m2Withhold contrast whenever possible and use alternative imaging modalities if feasible
Adequate hydration
Patients with end-stage renal disease who still produce urineConsider alternative diagnostic study if feasible
Avoid use of CM whenever possible
Use lowest possible dose of contrast
Use intermediate to low osmolar and/or low risk GBCA
followed by prompt dialysis if the patient is already undergoing dialysis
Patients with end-stage renal disease who are anuricCan receive routine volumes of intravenous contrast material without risk for further renal damage or the need for urgent dialysis