Contrast induced nephropathy: updated ESUR Contrast Media Safety Committee guidelines

Fulvio Stacul; Aart J van der Molen; Peter Reimer; Judith A W Webb; Henrik S Thomsen; Sameh K Morcos; Torsten Almén; Peter Aspelin; Marie-France Bellin; Olivier Clement; Gertraud Heinz-Peer; Contrast Media Safety Committee of European Society of Urogenital Radiology (ESUR)

doi:10.1007/s00330-011-2225-0

Contrast induced nephropathy: updated ESUR Contrast Media Safety Committee guidelines

Fulvio Stacul, Aart J van der Molen, Peter Reimer, Judith A W Webb, Henrik S Thomsen, Sameh K Morcos, Torsten Almén, Peter Aspelin, Marie-France Bellin, Olivier Clement, Gertraud Heinz-Peer, Contrast Media Safety Committee of European Society of Urogenital Radiology (ESUR)

871 Citations (Scopus)

Abstract

PURPOSE: The Contrast Media Safety Committee (CMSC) of the European Society of Urogenital Radiology (ESUR) has updated its 1999 guidelines on contrast medium-induced nephropathy (CIN). AREAS COVERED: Topics reviewed include the definition of CIN, the choice of contrast medium, the prophylactic measures used to reduce the incidence of CIN, and the management of patients receiving metformin. Key Points • Definition, risk factors and prevention of contrast medium induced nephropathy are reviewed. • CIN risk is lower with intravenous than intra-arterial iodinated contrast medium. • eGFR of 45 ml/min/1.73 m (2) is CIN risk threshold for intravenous contrast medium. • Hydration with either saline or sodium bicarbonate reduces CIN incidence. • Patients with eGFR ≥ 60 ml/min/1.73 m (2) receiving contrast medium can continue metformin normally.

Original language	English
Journal	European Radiology
Volume	21
Issue number	12
Pages (from-to)	2527-41
Number of pages	15
ISSN	0938-7994
DOIs	https://doi.org/10.1007/s00330-011-2225-0
Publication status	Published - 2011

Keywords

Contrast Media
Coronary Angiography
Europe
Female
Fluid Therapy
Gadolinium
Glomerular Filtration Rate
Heart Failure
Humans
Injections, Intra-Arterial
Injections, Intravenous
Iodine
Male
Practice Guidelines as Topic
Renal Insufficiency
Risk Factors
Sodium Bicarbonate
Sodium Chloride

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Stacul, F., van der Molen, A. J., Reimer, P., Webb, J. A. W., Thomsen, H. S., Morcos, S. K., Almén, T., Aspelin, P., Bellin, M.-F., Clement, O., Heinz-Peer, G., & Contrast Media Safety Committee of European Society of Urogenital Radiology (ESUR) (2011). Contrast induced nephropathy: updated ESUR Contrast Media Safety Committee guidelines. European Radiology, 21(12), 2527-41. https://doi.org/10.1007/s00330-011-2225-0

Stacul, F, van der Molen, AJ, Reimer, P, Webb, JAW, Thomsen, HS, Morcos, SK, Almén, T, Aspelin, P, Bellin, M-F, Clement, O, Heinz-Peer, G & Contrast Media Safety Committee of European Society of Urogenital Radiology (ESUR) 2011, 'Contrast induced nephropathy: updated ESUR Contrast Media Safety Committee guidelines', European Radiology, vol. 21, no. 12, pp. 2527-41. https://doi.org/10.1007/s00330-011-2225-0

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title = "Contrast induced nephropathy: updated ESUR Contrast Media Safety Committee guidelines",

abstract = "PURPOSE: The Contrast Media Safety Committee (CMSC) of the European Society of Urogenital Radiology (ESUR) has updated its 1999 guidelines on contrast medium-induced nephropathy (CIN). AREAS COVERED: Topics reviewed include the definition of CIN, the choice of contrast medium, the prophylactic measures used to reduce the incidence of CIN, and the management of patients receiving metformin. Key Points • Definition, risk factors and prevention of contrast medium induced nephropathy are reviewed. • CIN risk is lower with intravenous than intra-arterial iodinated contrast medium. • eGFR of 45 ml/min/1.73 m (2) is CIN risk threshold for intravenous contrast medium. • Hydration with either saline or sodium bicarbonate reduces CIN incidence. • Patients with eGFR ≥ 60 ml/min/1.73 m (2) receiving contrast medium can continue metformin normally.",

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doi = "10.1007/s00330-011-2225-0",

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AU - Stacul, Fulvio

AU - van der Molen, Aart J

AU - Reimer, Peter

AU - Webb, Judith A W

AU - Thomsen, Henrik S

AU - Morcos, Sameh K

AU - Almén, Torsten

AU - Aspelin, Peter

AU - Bellin, Marie-France

AU - Clement, Olivier

AU - Heinz-Peer, Gertraud

AU - Contrast Media Safety Committee of European Society of Urogenital Radiology (ESUR)

PY - 2011

Y1 - 2011

N2 - PURPOSE: The Contrast Media Safety Committee (CMSC) of the European Society of Urogenital Radiology (ESUR) has updated its 1999 guidelines on contrast medium-induced nephropathy (CIN). AREAS COVERED: Topics reviewed include the definition of CIN, the choice of contrast medium, the prophylactic measures used to reduce the incidence of CIN, and the management of patients receiving metformin. Key Points • Definition, risk factors and prevention of contrast medium induced nephropathy are reviewed. • CIN risk is lower with intravenous than intra-arterial iodinated contrast medium. • eGFR of 45 ml/min/1.73 m (2) is CIN risk threshold for intravenous contrast medium. • Hydration with either saline or sodium bicarbonate reduces CIN incidence. • Patients with eGFR ≥ 60 ml/min/1.73 m (2) receiving contrast medium can continue metformin normally.

AB - PURPOSE: The Contrast Media Safety Committee (CMSC) of the European Society of Urogenital Radiology (ESUR) has updated its 1999 guidelines on contrast medium-induced nephropathy (CIN). AREAS COVERED: Topics reviewed include the definition of CIN, the choice of contrast medium, the prophylactic measures used to reduce the incidence of CIN, and the management of patients receiving metformin. Key Points • Definition, risk factors and prevention of contrast medium induced nephropathy are reviewed. • CIN risk is lower with intravenous than intra-arterial iodinated contrast medium. • eGFR of 45 ml/min/1.73 m (2) is CIN risk threshold for intravenous contrast medium. • Hydration with either saline or sodium bicarbonate reduces CIN incidence. • Patients with eGFR ≥ 60 ml/min/1.73 m (2) receiving contrast medium can continue metformin normally.

KW - Contrast Media

KW - Coronary Angiography

KW - Europe

KW - Female

KW - Fluid Therapy

KW - Gadolinium

KW - Glomerular Filtration Rate

KW - Heart Failure

KW - Humans

KW - Injections, Intra-Arterial

KW - Injections, Intravenous

KW - Iodine

KW - Male

KW - Practice Guidelines as Topic

KW - Renal Insufficiency

KW - Risk Factors

KW - Sodium Bicarbonate

KW - Sodium Chloride

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U2 - 10.1007/s00330-011-2225-0

DO - 10.1007/s00330-011-2225-0

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C2 - 21866433

SN - 0938-7994

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SP - 2527

EP - 2541

JO - European Radiology

JF - European Radiology

IS - 12

ER -

Contrast induced nephropathy: updated ESUR Contrast Media Safety Committee guidelines

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