“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.

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No special precautions are necessary when diabetic patients on metformin are given gadolinium-based contrast agents as the risk of PC-AKI is very low. To reduce the risk of an acute reaction For all patients. Determine eGFR 48 hours after contrast medium administration. Appropriate H1-antihistamine intramuscularly or intravenously should be considered. In exceptional circumstances, when radiographic examination is essential, iodine- based contrast media may be given to the pregnant female.

Decreased blood pressure Intramuscular: Severe heart disease e. Contrast media and metformin. Gadolinium- containing contrast media for radiographic examinations: Since our first guidelines were published, more than Risk Stratification Van der Molen made sure to point out the difference in contrast agent concentration entering the kidneys is dependent on the injection site: Start volume expansion as early as possible before contrast medium administration see elective examination. Renal adverse reactions to gadolinium-based contrast agents.


Risk factors for skin reactions: Bone, red blood cell labelling. Ultrasound contrast media are generally safe.

Over the years, more thancopies of the booklet have been printed and it has been translated into many languages. Multiple contrast medium injections within hours. Pateints with heart failure NYHA or end stage renal failure should get individualized hydration.

The link between nephrogenic systemic fibrosis NSF and gadolinium-based contrast agents was recognized in Patients at risk should be closely monitored by endocrinologists after iodine- based contrast medium injection.

Contrast media :

Gadolinium-based contrast medium Hemodialysis to remove the contrast medium is unnecessary for iodine-based contrast medium, but for gadolinium- based contrast medium. In selected high-risk patients, prophylactic treatment may be given by an endocrinologist; this is more relevant in areas of dietary iodine deficiency. An contfast member asked whether a multiple myeloma patients really did not need any special care. Breast feeding should be avoided for 24 hours after contrast medium if high risk agents are used.

ESUR Guidelines on Contrast Media – European Society of Urogenital Radiology

Cyclosporine Cisplatin Aminoglycosides Non mexia anti- inflammatory drugs Refer to renal adverse reactions section 2. See renal adverse reactions see 2. The risk of an acute reaction to a gadolinium-based contrast agent is lower than the risk with an iodine-based contrast agent, but severe reactions to gadolinium-based contrast media may occur.


Safety of MR liver specific contrast media.

Intravenous IV contrast reaches the renal arteries after passing the right heart and the pulmonary circulation and is thus diluted. Although the contrast agents in current use guivelines been on the market for many years, minor changes occur in their adverse reaction pattern and new observations are reported.

Patients with diabetes mellitus taking metformin B. Large volume of contrast medium. There is no additional AKI risk in patients with solitary kidneys, kidney transplants, multiple myeloma or monoclonal gammopathy.

By clicking the box, you consent to us processing your personal data for the gudelines of providing you with the newsletter, as specified here. The validity is then only seven days. Powered By T3 Framework. Eur Radiol ; Intra-arterial contrast medium administration with first pass renal exposure. General adverse reactions B. All departments know about the particular hydration protocols and are responsible for guidelinss them in every patient.

In children, the revised Schwartz formula is recommended to calculate eGFR. Dialysis and contrast media. Previous late contrast medium reaction.

Use non-ionic iodine-based contrast medium.