Post-contrast acute kidney injury. Part 2: risk stratification, role of hydration and other prophylactic measures, patients taking metformin and chronic dialysis patients: 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/s00330-017-5247-4

Post-contrast acute kidney injury. Part 2: risk stratification, role of hydration and other prophylactic measures, patients taking metformin and chronic dialysis patients: 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

Institut for Klinisk Medicin

97 Citationer (Scopus)

14 Downloads (Pure)

Abstract

Objectives: 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 2: Topics reviewed include stratification of PC-AKI risk, the need to withdraw nephrotoxic medication, PC-AKI prophylaxis with hydration or drugs, the use of metformin in diabetic patients receiving contrast medium and the need to alter dialysis schedules in patients receiving contrast medium. Key points: • In CKD, hydration reduces the PC-AKI risk • Intravenous normal saline and intravenous sodium bicarbonate provide equally effective prophylaxis • No drugs have been consistently shown to reduce the risk of PC-AKI • Stop metformin from the time of contrast medium administration if eGFR < 30 ml/min/1.73 m² • Dialysis schedules need not change when intravascular contrast medium is given.

Originalsprog	Engelsk
Tidsskrift	European Radiology
Vol/bind	28
Udgave nummer	7
Sider (fra-til)	2856-2869
Antal sider	14
ISSN	0938-7994
DOI	https://doi.org/10.1007/s00330-017-5247-4
Status	Udgivet - 2018

FN’s Verdensmål

Dette resultat bidrager til følgende verdensmål

Adgang til dokumentet

10.1007/s00330-017-5247-4Licens: CC BY

Post-contrast acute kidney injury. Part 2: risk stratification, role of hydration and other prophylactic measures, patients taking metformin and chronic dialysis patientsForlagets udgivne version, 556 KBLicens: CC BY

Fingeraftryk

Dyk ned i forskningsemnerne om 'Post-contrast acute kidney injury. Part 2: risk stratification, role of hydration and other prophylactic measures, patients taking metformin and chronic dialysis patients: Recommendations for updated ESUR Contrast Medium Safety Committee guidelines'. Sammen danner de et unikt fingeraftryk.

Citationsformater

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 2: risk stratification, role of hydration and other prophylactic measures, patients taking metformin and chronic dialysis patients: Recommendations for updated ESUR Contrast Medium Safety Committee guidelines. European Radiology, 28(7), 2856-2869. https://doi.org/10.1007/s00330-017-5247-4

Post-contrast acute kidney injury. Part 2: risk stratification, role of hydration and other prophylactic measures, patients taking metformin and chronic dialysis patients: Recommendations for updated ESUR Contrast Medium Safety Committee guidelines. / van der Molen, Aart J.; Reimer, Peter; Dekkers, Ilona A. et al.
I: European Radiology, Bind 28, Nr. 7, 2018, s. 2856-2869.

Publikation: Bidrag til tidsskrift › Review › peer review

van der Molen, AJ, Reimer, P, Dekkers, IA, Bongartz, G, Bellin, MF, Bertolotto, M, Clement, O, Heinz-Peer, G, Stacul, F, Webb, JAW & Thomsen, HS 2018, 'Post-contrast acute kidney injury. Part 2: risk stratification, role of hydration and other prophylactic measures, patients taking metformin and chronic dialysis patients: Recommendations for updated ESUR Contrast Medium Safety Committee guidelines', European Radiology, bind 28, nr. 7, s. 2856-2869. https://doi.org/10.1007/s00330-017-5247-4

van der Molen AJ, Reimer P, Dekkers IA, Bongartz G, Bellin MF, Bertolotto M et al. Post-contrast acute kidney injury. Part 2: risk stratification, role of hydration and other prophylactic measures, patients taking metformin and chronic dialysis patients: Recommendations for updated ESUR Contrast Medium Safety Committee guidelines. European Radiology. 2018;28(7):2856-2869. doi: 10.1007/s00330-017-5247-4

van der Molen, Aart J. ; Reimer, Peter ; Dekkers, Ilona A. et al. / Post-contrast acute kidney injury. Part 2 : risk stratification, role of hydration and other prophylactic measures, patients taking metformin and chronic dialysis patients: Recommendations for updated ESUR Contrast Medium Safety Committee guidelines. I: European Radiology. 2018 ; Bind 28, Nr. 7. s. 2856-2869.

@article{f41c380be61d45e5b6aea8e203b32af2,

title = "Post-contrast acute kidney injury. Part 2: risk stratification, role of hydration and other prophylactic measures, patients taking metformin and chronic dialysis patients: Recommendations for updated ESUR Contrast Medium Safety Committee guidelines",

abstract = "Objectives: 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 2: Topics reviewed include stratification of PC-AKI risk, the need to withdraw nephrotoxic medication, PC-AKI prophylaxis with hydration or drugs, the use of metformin in diabetic patients receiving contrast medium and the need to alter dialysis schedules in patients receiving contrast medium. Key points: • In CKD, hydration reduces the PC-AKI risk • Intravenous normal saline and intravenous sodium bicarbonate provide equally effective prophylaxis • No drugs have been consistently shown to reduce the risk of PC-AKI • Stop metformin from the time of contrast medium administration if eGFR < 30 ml/min/1.73 m2 • Dialysis schedules need not change when intravascular contrast medium is given.",

keywords = "Acute kidney injury, Contrast media, Haemodialysis, Metformin, Practice guidelines",

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

year = "2018",

doi = "10.1007/s00330-017-5247-4",

language = "English",

volume = "28",

pages = "2856--2869",

journal = "European Radiology",

issn = "0938-7994",

publisher = "Springer",

number = "7",

}

TY - JOUR

T1 - Post-contrast acute kidney injury. Part 2

T2 - risk stratification, role of hydration and other prophylactic measures, patients taking metformin and chronic dialysis patients: 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

Y1 - 2018

N2 - Objectives: 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 2: Topics reviewed include stratification of PC-AKI risk, the need to withdraw nephrotoxic medication, PC-AKI prophylaxis with hydration or drugs, the use of metformin in diabetic patients receiving contrast medium and the need to alter dialysis schedules in patients receiving contrast medium. Key points: • In CKD, hydration reduces the PC-AKI risk • Intravenous normal saline and intravenous sodium bicarbonate provide equally effective prophylaxis • No drugs have been consistently shown to reduce the risk of PC-AKI • Stop metformin from the time of contrast medium administration if eGFR < 30 ml/min/1.73 m2 • Dialysis schedules need not change when intravascular contrast medium is given.

AB - Objectives: 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 2: Topics reviewed include stratification of PC-AKI risk, the need to withdraw nephrotoxic medication, PC-AKI prophylaxis with hydration or drugs, the use of metformin in diabetic patients receiving contrast medium and the need to alter dialysis schedules in patients receiving contrast medium. Key points: • In CKD, hydration reduces the PC-AKI risk • Intravenous normal saline and intravenous sodium bicarbonate provide equally effective prophylaxis • No drugs have been consistently shown to reduce the risk of PC-AKI • Stop metformin from the time of contrast medium administration if eGFR < 30 ml/min/1.73 m2 • Dialysis schedules need not change when intravascular contrast medium is given.

KW - Acute kidney injury

KW - Contrast media

KW - Haemodialysis

KW - Metformin

KW - Practice guidelines

U2 - 10.1007/s00330-017-5247-4

DO - 10.1007/s00330-017-5247-4

M3 - Review

C2 - 29417249

AN - SCOPUS:85041542518

SN - 0938-7994

VL - 28

SP - 2856

EP - 2869

JO - European Radiology

JF - European Radiology

IS - 7

ER -