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^*

^*Corresponding author for this work

Department of Clinical Medicine

131 Citations (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.

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 - 2018

Keywords

Acute kidney injury
Contrast media
Glomerular filtration rate
Practice guidelines as topic
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, 2018, p. 2845-2855.

Research output: Contribution to journal › Journal article › Research › 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 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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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, Contrast media, Glomerular filtration rate, Practice guidelines as topic, Risk factors",

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.}",

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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.

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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.

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KW - Contrast media

KW - Glomerular filtration rate

KW - Practice guidelines as topic

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