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*

*Corresponding author af dette arbejde
131 Citationer (Scopus)
10 Downloads (Pure)

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.

OriginalsprogEngelsk
TidsskriftEuropean Radiology
Vol/bind28
Udgave nummer7
Sider (fra-til)2845-2855
Antal sider11
ISSN0938-7994
DOI
StatusUdgivet - 2018

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