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 for this work

Department of Clinical Medicine

97 Citations (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.

Original language	English
Journal	European Radiology
Volume	28
Issue number	7
Pages (from-to)	2856-2869
Number of pages	14
ISSN	0938-7994
DOIs	https://doi.org/10.1007/s00330-017-5247-4
Publication status	Published - 2018

Keywords

Acute kidney injury
Contrast media
Haemodialysis
Metformin
Practice guidelines

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

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

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

Fingerprint

Dive into the research topics of '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'. Together they form a unique fingerprint.

Cite this

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.
In: European Radiology, Vol. 28, No. 7, 2018, p. 2856-2869.

Research output: Contribution to journal › 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, vol. 28, no. 7, pp. 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. In: European Radiology. 2018 ; Vol. 28, No. 7. pp. 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 -