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Recent observational studies with sophisticated statistical adjustment suggest that alleged risks for acute kidney injury (AKI) caused by intravenous (IV) iodinated contrast have been overstated. This consensus statement incorporates the newer data to provide updated guidance for clinicians.
The authors distinguish between contrast-associated AKI and contrast-induced AKI. In many patients who develop AKI after receiving IV contrast, other coexisting factors (e.g., nephrotoxic medications, fluctuating volume status) make it difficult to prove that contrast media caused the AKI. Contrast-associated AKI is the umbrella term describing a tempor…