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Author Topic: Gadolinium and CKD
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Post Gadolinium and CKD
on: March 7, 2013, 05:10
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it's clear to avoid gadolinium in esrd due to risk for NSF, my question is for ckd, at what GFR do we say no to contrast? Tnx
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Post Re: Gadolinium and CKD
on: March 7, 2013, 10:25
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Great question. Studies are not great but the general consensus is that gad should be avoided in ckd 4 and 5 ( gfr<30 cc/min). Also, gad dose makes a difference too (try to use less than 0.4 mmol per kg if the MRI is absolutely needed). This article sums up all the studies done: http://m.cjasn.asnjournals.org/content/4/2/461.full#F3
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