Post-contrast acute kidney injury - Part 1: Definition, clinical features, incidence, role of contrast medium and risk factors : Recommendations for updated ESUR Contrast Medium Safety Committee guidelines

Aart J van der Molen; Peter Reimer; Ilona A Dekkers; Georg Bongartz; Marie-France Bellin; Michele Bertolotto; Olivier Clement; Gertraud Heinz-Peer; Fulvio Stacul; Judith A W Webb; Henrik S Thomsen

doi:10.1007/s00330-017-5246-5

Post-contrast acute kidney injury - Part 1: Definition, clinical features, incidence, role of contrast medium and risk factors : Recommendations for updated ESUR Contrast Medium Safety Committee guidelines

Aart J van der Molen, Peter Reimer, Ilona A Dekkers, Georg Bongartz, Marie-France Bellin, Michele Bertolotto, Olivier Clement, Gertraud Heinz-Peer, Fulvio Stacul, Judith A W Webb, Henrik S Thomsen

Department of Radiology

432 Citations (Scopus)

Abstract

PURPOSE: The Contrast Media Safety Committee (CMSC) of the European Society of Urogenital Radiology (ESUR) has updated its 2011 guidelines on the prevention of post-contrast acute kidney injury (PC-AKI). The results of the literature review and the recommendations based on it, which were used to prepare the new guidelines, are presented in two papers. AREAS COVERED IN PART 1: Topics reviewed include the terminology used, the best way to measure eGFR, the definition of PC-AKI, and the risk factors for PC-AKI, including whether the risk with intravenous and intra-arterial contrast medium differs.

KEY POINTS: • PC-AKI is the preferred term for renal function deterioration after contrast medium. • PC-AKI has many possible causes. • The risk of AKI caused by intravascular contrast medium has been overstated. • Important patient risk factors for PC-AKI are CKD and dehydration.

Original language	English
Journal	European Radiology
Volume	28
Issue number	7
Pages (from-to)	2845-2855
Number of pages	11
ISSN	0938-7994
DOIs	https://doi.org/10.1007/s00330-017-5246-5
Publication status	Published - Jul 2018

Keywords

Acute Kidney Injury/chemically induced
Administration, Intravenous
Contrast Media/administration & dosage
Female
Glomerular Filtration Rate/physiology
Humans
Incidence
Injections, Intra-Arterial
Male
Practice Guidelines as Topic
Radiography
Risk Factors

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van der Molen, A. J., Reimer, P., Dekkers, I. A., Bongartz, G., Bellin, M.-F., Bertolotto, M., Clement, O., Heinz-Peer, G., Stacul, F., Webb, J. A. W., & Thomsen, H. S. (2018). Post-contrast acute kidney injury - Part 1: Definition, clinical features, incidence, role of contrast medium and risk factors : Recommendations for updated ESUR Contrast Medium Safety Committee guidelines. European Radiology, 28(7), 2845-2855. https://doi.org/10.1007/s00330-017-5246-5

Post-contrast acute kidney injury - Part 1: Definition, clinical features, incidence, role of contrast medium and risk factors : Recommendations for updated ESUR Contrast Medium Safety Committee guidelines. / van der Molen, Aart J; Reimer, Peter; Dekkers, Ilona A et al.
In: European Radiology, Vol. 28, No. 7, 07.2018, p. 2845-2855.

Research output: Contribution to journal › Review › peer-review

van der Molen, AJ, Reimer, P, Dekkers, IA, Bongartz, G, Bellin, M-F, Bertolotto, M, Clement, O, Heinz-Peer, G, Stacul, F, Webb, JAW & Thomsen, HS 2018, 'Post-contrast acute kidney injury - Part 1: Definition, clinical features, incidence, role of contrast medium and risk factors : Recommendations for updated ESUR Contrast Medium Safety Committee guidelines', European Radiology, vol. 28, no. 7, pp. 2845-2855. https://doi.org/10.1007/s00330-017-5246-5

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title = "Post-contrast acute kidney injury - Part 1: Definition, clinical features, incidence, role of contrast medium and risk factors : Recommendations for updated ESUR Contrast Medium Safety Committee guidelines",

abstract = "PURPOSE: The Contrast Media Safety Committee (CMSC) of the European Society of Urogenital Radiology (ESUR) has updated its 2011 guidelines on the prevention of post-contrast acute kidney injury (PC-AKI). The results of the literature review and the recommendations based on it, which were used to prepare the new guidelines, are presented in two papers. AREAS COVERED IN PART 1: Topics reviewed include the terminology used, the best way to measure eGFR, the definition of PC-AKI, and the risk factors for PC-AKI, including whether the risk with intravenous and intra-arterial contrast medium differs.KEY POINTS: • PC-AKI is the preferred term for renal function deterioration after contrast medium. • PC-AKI has many possible causes. • The risk of AKI caused by intravascular contrast medium has been overstated. • Important patient risk factors for PC-AKI are CKD and dehydration.",

keywords = "Acute Kidney Injury/chemically induced, Administration, Intravenous, Contrast Media/administration \& dosage, Female, Glomerular Filtration Rate/physiology, Humans, Incidence, Injections, Intra-Arterial, Male, Practice Guidelines as Topic, Radiography, Risk Factors",

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T2 - Definition, clinical features, incidence, role of contrast medium and risk factors : Recommendations for updated ESUR Contrast Medium Safety Committee guidelines

AU - van der Molen, Aart J

AU - Reimer, Peter

AU - Dekkers, Ilona A

AU - Bongartz, Georg

AU - Bellin, Marie-France

AU - Bertolotto, Michele

AU - Clement, Olivier

AU - Heinz-Peer, Gertraud

AU - Stacul, Fulvio

AU - Webb, Judith A W

AU - Thomsen, Henrik S

PY - 2018/7

Y1 - 2018/7

N2 - PURPOSE: The Contrast Media Safety Committee (CMSC) of the European Society of Urogenital Radiology (ESUR) has updated its 2011 guidelines on the prevention of post-contrast acute kidney injury (PC-AKI). The results of the literature review and the recommendations based on it, which were used to prepare the new guidelines, are presented in two papers. AREAS COVERED IN PART 1: Topics reviewed include the terminology used, the best way to measure eGFR, the definition of PC-AKI, and the risk factors for PC-AKI, including whether the risk with intravenous and intra-arterial contrast medium differs.KEY POINTS: • PC-AKI is the preferred term for renal function deterioration after contrast medium. • PC-AKI has many possible causes. • The risk of AKI caused by intravascular contrast medium has been overstated. • Important patient risk factors for PC-AKI are CKD and dehydration.

AB - PURPOSE: The Contrast Media Safety Committee (CMSC) of the European Society of Urogenital Radiology (ESUR) has updated its 2011 guidelines on the prevention of post-contrast acute kidney injury (PC-AKI). The results of the literature review and the recommendations based on it, which were used to prepare the new guidelines, are presented in two papers. AREAS COVERED IN PART 1: Topics reviewed include the terminology used, the best way to measure eGFR, the definition of PC-AKI, and the risk factors for PC-AKI, including whether the risk with intravenous and intra-arterial contrast medium differs.KEY POINTS: • PC-AKI is the preferred term for renal function deterioration after contrast medium. • PC-AKI has many possible causes. • The risk of AKI caused by intravascular contrast medium has been overstated. • Important patient risk factors for PC-AKI are CKD and dehydration.

KW - Acute Kidney Injury/chemically induced

KW - Administration, Intravenous

KW - Contrast Media/administration & dosage

KW - Female

KW - Glomerular Filtration Rate/physiology

KW - Humans

KW - Incidence

KW - Injections, Intra-Arterial

KW - Male

KW - Practice Guidelines as Topic

KW - Radiography

KW - Risk Factors

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U2 - 10.1007/s00330-017-5246-5

DO - 10.1007/s00330-017-5246-5

M3 - Review

C2 - 29426991

SN - 0938-7994

VL - 28

SP - 2845

EP - 2855

JO - European Radiology

JF - European Radiology

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ER -

Post-contrast acute kidney injury - Part 1: Definition, clinical features, incidence, role of contrast medium and risk factors : Recommendations for updated ESUR Contrast Medium Safety Committee guidelines

Abstract

Keywords

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