My version of "code review" is "test failure investigation" and I have a hard rule in my repos that agents never modify existing tests while they're implementing features. This means that when I run the tests after they do a bunch of stuff, I see all the tests break. Mostly they're stale assertions and we patch them up. Sometimes they're regressions and we patch those up, and sometimes I notice something dumb and dive deep into a facet of the architecture that can be improved, spend some time exploring it then get the agent to implement.
I think it's a better approach than trying to read everything and catch bugs or improve quality because you wind up focusing the things that actually matter in the real world rather than the things you think might matter.
This is how I've always approached working with offshore devs too. Focus on testing for quality control, not "code quality". After all, you're going to look at the code you wrote 5 years ago and think it's shit anyway right? So all your code is shit.
Regarding "lack of understanding", here's a recent anecdote: I had a bug in a production (but relatively new) system. The customer was texting me saying that they couldn't scan a QR code because it kept "skipping and glitching". They sent me a short video. I described the problem to the agent and it figured out WAY faster than I would have been able to that the customer's clock was set incorrectly. They turned on network time and bingo bango, the thing worked straight away.
I don't thing "comprehension debt" matters at all, because if you want to know something about the code you ask the agent. I can't remember how anything works after 12 months anyway, so I would frequently have to spend ages grepping my own code when a customer came back and asked me to change something in a system we hadn't touched since last year. Asking an agent the same thing takes minutes and is way more accurate (and fun!)