What are the recommendations for preventing contrast induced nephropathy in the high-risk patient undergoing cardiovascular procedures? 
The ESUR Contrast Media Safety Committee guidelines recommend using a lower dose of radiographic contrast media and monitoring of kidney function for high-risk patients undergoing cardiovascular procedures to prevent contrast induced nephropathy. Additionally, other risk factors such as diabetes, age, dehydration, and pre-existing renal disease should be taken into account. Patients should also be adequately hydrated before and after contrast administration.  