To highlight potential adverse effects of contrast agents. •! To produce guidelines on the safe use of contrast media in different clinical Version has until. “Contrast agents are much less nephrotoxic than previously thought”, said Aart van der the current ESUR Contrast Media Safety Committee (CMSC) guideline. It is a great honor for the Contrast Media Safety Committee of the European So- ciety of Urogenital Radiology (ESUR) to present version of its Contrast Media 7. 1. AN OVERVIEW. This overview summarizes some of the most important.

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The link between nephrogenic systemic fibrosis NSF and gadolinium-based contrast agents was recognized in After the procedure, the patient should be monitored for signs of lactic acidosis. Gadolinium-based contrast medium Hemodialysis to remove the contrast medium is unnecessary for iodine-based contrast medium, but for gadolinium- based contrast medium.

Intra-arterial injection with first pass renal exposure indicates that contrast agent reaches the renal arteries in a relatively undiluted form, e. However, there is no evidence that hemodialysis protects patients with impaired renal function from contrast medium induced nephropathy or nephrogenic systemic fibrosis.

It is recognized that: No pharmacological prophylaxis with statins, renal vasodilators, receptor antagonists of endogenous vasoactive mediators or cytoprotective drugs has been shown to offer consistent protection against PC-AKI. Reducing the risk of iodine-based and MRI contrast media administration: Multiple myeloma patients B.


From the day of exposure for up to months, sometimes up to years after exposure. Consider an alternative imaging method not using iodine-based contrast media. Pregnant or lactating mother with renal impairment.

ESUR Update 2018

A late adverse reaction to intravascular iodine-based contrast medium gidelines defined as a reaction which occurs 1 h to 1 week after contrast medium injection. All other topics for which the Committee has prepared guidelines, including: I confirm that I am a Healthcare Professional.

It is the case in catheter injections in the left heart, the thoracic aorta, the suprarenal abdominal aorta, or directly into the renal arteries. Usage of cookies We would like to use cookies to better understand your use of this website.

The Contrast Media Safety Committee of the Yuidelines Society of Urogenital Radiology is proud to present the 10 th version of its Contrast Agent Guidelines We started in and we have on average updated the booklet every 2 to 3 years. The Committee and authors of the It is increased for high-osmolar agents and for guivelines injections within 48 to 72 hours. Our monthly Newsletter informs you about News at radiology.

In all patients use the smallest amount of contrast medium necessary for a diagnostic result. A variety of late symptoms e. More severe acute reactions are rare and are similar to those after iodine and gadolinium-based agents see 1.


Where there is insufficient published evidence, guidelines are based on clinical consensus within the Committee. Start volume expansion as early as possible before contrast medium administration see elective examination.

ESUR Update –

In hospital inpatietns with diagnosed AKI one to two days are preferable. Patients at high risk. Diagnostic results can be achieved with lower doses than extracellular Gd-CM.

Elective Examination Identify patients who require measurement of renal function Determine eGFR or SCr within 7 days of contrast medium administration.

Large doses of contrast medium given intra-arterially with first pass renal exposure. No additional precautions are necessary for the fetus or neonate.

European Society of Urogenital Radiology

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Mr Examinations The risk of nephrotoxicity is very low when gadolinium-based contrast media are used in approved doses. Since our first guidelines were published, more than All iodine- and gadolinium-based contrast agents can be removed by hemodialysis or peritoneal dialysis. Following administration of gadolinium-based agents to the mother during pregnancy, no esuf tests are necessary. Use the lowest dose of contrast medium consistent with a diagnostic result.

Oral hydration alone is not recommended.