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May 1983

Acute Renal Failure After Enhanced Computed Tomography

Author Affiliations

From the Division of Nephrology, Department of Medicine, Berkshire Medical Center, Pittsfield, Mass. Dr Barnes is now with St Barnabas Medical Center, Livingston, NJ.

Arch Intern Med. 1983;143(5):1042-1043. doi:10.1001/archinte.1983.00350050208042

• Acute renal failure has been reported after the administration of a variety of radiographic contrast media. We treated a patient with preexisting renal insufficiency who received contrast media during computed tomography (CT) and had acute renal failure. The fractional excretion of sodium (FENa) was observed to be 0.2% before contrast media exposure and 3.5% after exposure. Patients with risk factors leading to contrast media-induced acute renal failure should be carefully screened before receiving enhanced CT.

(Arch Intern Med 1983;143:1042-1043)