“Contrast agents are much less nephrotoxic than previously thought”, said Aart van der the current ESUR Contrast Media Safety Committee (CMSC) guideline. Renal adverse reactions to gadolinium-based contrast agents B How long should there be between two iodine-based contrast media injections for routine. The Contrast Media Safety Committee of the European Society of Urogenital Radiology is proud to present the 10th version of its Contrast Agent Guidelines.

Author: JoJokus Tulabar
Country: Estonia
Language: English (Spanish)
Genre: Marketing
Published (Last): 13 October 2018
Pages: 392
PDF File Size: 19.63 Mb
ePub File Size: 8.1 Mb
ISBN: 493-4-67983-355-2
Downloads: 90146
Price: Free* [*Free Regsitration Required]
Uploader: Gardagore

All other topics for which the Committee has prepared guidelines, including: Iodinated Contrast Media and Blood interactions.

No pharmacological prophylaxis with renal vasodilators, receptor antagonists of endogenous vasoactive mediators or cytoprotective drugs has yet been shown to offer consistent protection against contrast induced nephropathy.

Efficient practice may involve giving iodine- and gadolinium-based contrast agents for enhanced CT and MR on the same day. After the procedure, the patient should be monitored for signs of lactic acidosis. Type of reaction Iodine-based contrast media.

Renal adverse reactions C. Breast feeding may be continued normally when iodine-based agents are given to the mother.


The contrast media safety committee has published 23 papers and books dealing with contrast media since its start in However, the ESUR guidelines are not only about evidence-based data: All contrast media have anticoagulant properties, especially ionic agents. Use the lowest dose of contrast medium consistent with a diagnostic result.

ESUR Update 2018

Extra hemodialysis session to remove contrast medium is unnecessary. The Committee and authors of the More severe acute reactions are rare and are similar to those after iodine and gadolinium-based agents see 1.

Our key aim of providing simple practical guidelines appears to have been fulfilled. Intravenous technique should always be meticulous using appropriate sized plastic cannula placed in a suitable vein to handle the flow rate used contrasf the injection.

ESUR Guidelines :

Stages 2 and 3 rarely apply in the radiology setting. Safety of MR liver specific contrast media. Intravenous cholangiographic contrast media should not be given to patients at risk. It their renal function has not deteriorated, they should restart metformin.

Their eGFR should be determined within 48 hours.

Almost reports from international congresses Hundreds of summaries from the leading radiology journals Videos and interviews with radiologists from all over the world. It is recognized that: Patients at risk should be closely monitored by endocrinologists after iodine- based contrast medium injection.


Late adverse reactions to intravascular iodine- based contrast media: Never deny a patient a clinically well- indicated enhanced MRI examination. When absorption or leakage into the circulation is possible, take the same precautions as for intravascular administration. Renal function assessment by questionnaire should be o if serum creatinine is not measured.

Laboratory testing of renal function eGFR is not mandatory. See renal adverse reactions see 2. Use of a power injector.

Contrast media 7.0

General adverse reactions B. I mproving G lobal O utcomes is a global non-profit organization developing evidence-based clinical practice guidelines in kidney disease guidelines for staging acute kidney injury AKI.

High osmolar ionic contrast media may induce thrombosis due to endothelial damage, particularly in phlebographic procedures.