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)

607 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 - Dec 2011

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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.",

author = "Fulvio Stacul and {van der Molen}, {Aart J} and Peter Reimer and Webb, {Judith A W} and Thomsen, {Henrik S} and Morcos, {Sameh K} and Torsten Alm{\'e}n and Peter Aspelin and Marie-France Bellin and Olivier Clement and Gertraud Heinz-Peer and Thomsen, {Henrik S.}",

year = "2011",

month = dec,

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

language = "English",

volume = "21",

pages = "2527--41",

journal = "European Radiology",

issn = "0938-7994",

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TY - JOUR

T1 - Contrast induced nephropathy

T2 - updated ESUR Contrast Media Safety Committee guidelines

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 - 2011/12

Y1 - 2011/12

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.

U2 - 10.1007/s00330-011-2225-0

DO - 10.1007/s00330-011-2225-0

M3 - Journal article

SN - 0938-7994

VL - 21

SP - 2527

EP - 2541

JO - European Radiology

JF - European Radiology

IS - 12

ER -

Contrast induced nephropathy: updated ESUR Contrast Media Safety Committee guidelines

Abstract

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