Contrast-induced nephropathy in patients with kidney disease: new considerations on
osmolality, glomerular filtration rate, and clinical endpoint
by V. Matarese
Introduction
Contrast-induced nephropathy (CIN) has been a cause of concern for over 15 years, but recent attention has focused on CIN associated with the intravenous administration of contrast agents for multidetector CT, a more common and safer procedure than angiography with intra-arterial contrast. Three recent randomized controlled trials in patients at high risk, i.e. with chronic kidney disease [ 1, 2 ] and also diabetes mellitus [ 3 ], reported low rates of CIN (<7% in all study groups, according to all clinical endpoints). In an attempt to understand why CIN manifests in a small proportion of high-risk patients, researchers H.S. Thomsen and S.K. Morcos re-evaluated pooled data from two trials [ 1, 2 ].
