Intravenous contrast medium extravasation: systematic review and updated ESUR Contrast Media Safety Committee Guidelines

Giles Roditi; Nadir Khan; Aart J van der Molen; Marie-France Bellin; Michele Bertolotto; Torkel Brismar; Jean-Michel Correas; Ilona A Dekkers; Remy W F Geenen; Gertraud Heinz-Peer; Andreas H Mahnken; Carlo C Quattrocchi; Alexander Radbruch; Peter Reimer; Laura Romanini; Fulvio Stacul; Henrik S Thomsen; Olivier Clément

doi:10.1007/s00330-021-08433-4

Intravenous contrast medium extravasation: systematic review and updated ESUR Contrast Media Safety Committee Guidelines

Giles Roditi, Nadir Khan, Aart J van der Molen, Marie-France Bellin, Michele Bertolotto, Torkel Brismar, Jean-Michel Correas, Ilona A Dekkers, Remy W F Geenen, Gertraud Heinz-Peer, Andreas H Mahnken, Carlo C Quattrocchi, Alexander Radbruch, Peter Reimer, Laura Romanini, Fulvio Stacul, Henrik S Thomsen, Olivier Clément

Radiology

40 Citations (Scopus)

Abstract

NEED FOR A REVIEW: Guidelines for management and prevention of contrast media extravasation have not been updated recently. In view of emerging research and changing working practices, this review aims to inform update on the current guidelines.

AREAS COVERED: In this paper, we review the literature pertaining to the pathophysiology, diagnosis, risk factors and treatments of contrast media extravasation. A suggested protocol and guidelines are recommended based upon the available literature.

KEY POINTS: • Risk of extravasation is dependent on scanning technique and patient risk factors. • Diagnosis is mostly clinical, and outcomes are mostly favourable. • Referral to surgery should be based on clinical severity rather than extravasated volume.

Original language	English
Journal	European Radiology
Volume	32
Issue number	5
Pages (from-to)	3056-3066
Number of pages	11
ISSN	0938-7994
DOIs	https://doi.org/10.1007/s00330-021-08433-4
Publication status	Published - May 2022

Keywords

Administration, Intravenous
Contrast Media/administration & dosage
Extravasation of Diagnostic and Therapeutic Materials/prevention & control
Humans
Risk Factors
Systematic Reviews as Topic

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10.1007/s00330-021-08433-4

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Roditi, G., Khan, N., van der Molen, A. J., Bellin, M.-F., Bertolotto, M., Brismar, T., Correas, J.-M., Dekkers, I. A., Geenen, R. W. F., Heinz-Peer, G., Mahnken, A. H., Quattrocchi, C. C., Radbruch, A., Reimer, P., Romanini, L., Stacul, F., Thomsen, H. S., & Clément, O. (2022). Intravenous contrast medium extravasation: systematic review and updated ESUR Contrast Media Safety Committee Guidelines. European Radiology, 32(5), 3056-3066. https://doi.org/10.1007/s00330-021-08433-4

Roditi, G, Khan, N, van der Molen, AJ, Bellin, M-F, Bertolotto, M, Brismar, T, Correas, J-M, Dekkers, IA, Geenen, RWF, Heinz-Peer, G, Mahnken, AH, Quattrocchi, CC, Radbruch, A, Reimer, P, Romanini, L, Stacul, F, Thomsen, HS & Clément, O 2022, 'Intravenous contrast medium extravasation: systematic review and updated ESUR Contrast Media Safety Committee Guidelines', European Radiology, vol. 32, no. 5, pp. 3056-3066. https://doi.org/10.1007/s00330-021-08433-4

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abstract = "NEED FOR A REVIEW: Guidelines for management and prevention of contrast media extravasation have not been updated recently. In view of emerging research and changing working practices, this review aims to inform update on the current guidelines.AREAS COVERED: In this paper, we review the literature pertaining to the pathophysiology, diagnosis, risk factors and treatments of contrast media extravasation. A suggested protocol and guidelines are recommended based upon the available literature.KEY POINTS: • Risk of extravasation is dependent on scanning technique and patient risk factors. • Diagnosis is mostly clinical, and outcomes are mostly favourable. • Referral to surgery should be based on clinical severity rather than extravasated volume.",

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doi = "10.1007/s00330-021-08433-4",

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AU - van der Molen, Aart J

AU - Bellin, Marie-France

AU - Bertolotto, Michele

AU - Brismar, Torkel

AU - Correas, Jean-Michel

AU - Dekkers, Ilona A

AU - Geenen, Remy W F

AU - Heinz-Peer, Gertraud

AU - Mahnken, Andreas H

AU - Quattrocchi, Carlo C

AU - Radbruch, Alexander

AU - Reimer, Peter

AU - Romanini, Laura

AU - Stacul, Fulvio

AU - Thomsen, Henrik S

AU - Clément, Olivier

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KW - Contrast Media/administration & dosage

KW - Extravasation of Diagnostic and Therapeutic Materials/prevention & control

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JO - European Radiology

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Intravenous contrast medium extravasation: systematic review and updated ESUR Contrast Media Safety Committee Guidelines

Abstract

Keywords

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