“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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ESUR Guidelines on Contrast Media – European Society of Urogenital Radiology

The 10 th version of the Guidelines includes updated sections on acute adverse reactions, gadolinium contrast agents and other gadolinium issues, post contrast acute kidney injury PC-AKI and myeloma and contrast media. The incidence is highest after iodine-based contrast agents and lowest after ultrasound agents.

Guideilnes avoid the risk of NSF refer to 1. The risk of an acute reaction to a gadolinium-based contrast agent is lower than the risk with an eeur contrast agent, but severe reactions to gadolinium-based contrast media may occur.

Cintrast hydration is not recommended as the sole method of preventive hydration. Our monthly Newsletter informs you about News at radiology. Emergency treatment may be needed.

ESUR Guidelines

Discuss the need to stop nephrotoxic drugs with the referring physician. This differentiation is important for patient stratification: Diagnostic results can be mfdia with lower doses than extracellular Gd-CM. Comments and questions are welcome at the ESUR webpage www. Iodine-based contrast medium Hemodialysis to remove the contrast medium is unnecessary. Patients with diabetes mellitus taking metformin B.


Before intra-arterial iodine-based contrast medium: Risk Stratification Van der Molen made sure to point out the difference in contrast veersion concentration entering the kidneys is dependent on the injection guidelinws Type and severity of reactions. The contrast media safety committee has published 23 papers and books dealing with contrast comtrast since its start in In this case, three precautionary steps should be followed: Patients at risk should be closely monitored by endocrinologists after iodine- based contrast medium injection.

Bone, red blood cell labelling. In which patients should serum-creatinine be measured before contrast medium administration? Late skin reactions of the type which occur after iodine-based contrast media have not been described after gadolinium-based and ultrasound contrast media. Large doses of contrast medium given intra-arterially with first pass renal exposure.

European Society of Urogenital Radiology

Thomsen, Chairman In version 8. History of pulmonary hypertension. If a hospital does this, these patients will not require special precautions. Previous allergic reactions to barium products.

Clinical evidence of the effectiveness of premedication is limited. Use iodine-based water-soluble contrast media and be prepared to treat a reaction. 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.


Renal function assessment by questionnaire should be used if serum creatinine is guidelinees measured. Gadolinium- containing contrast media for radiographic examinations: It provides the rationale for the guidelines in this guideline. However, dehydration is hard to examine, because there is no sound criteria for it, he added.

Breast feeding may be continued normally when iodine-based agents are given to the mother. Have the drugs and equipment for resuscitation readily available see 1. Contrast Media Safety Committee. More severe acute versioh are rare and are similar to those after iodine and gadolinium-based agents see 1. Late adverse reactions to intravascular iodine- based contrast media: Gadolinium-based contrast agent The need for hemodialysis should be discussed with the referring physician.

Gadolinium-based contrast agent Correlation of time of the contrast agent injection with the hemodialysis session is recommended.

Contrast media :

Extra hemodialysis session to remove contrast medium as soon as possible after it has been administered is recommended. Almost reports from international congresses Hundreds of summaries from the guideliines radiology journals Videos and interviews with radiologists from all over the world.

Ultrasound contrast media are generally safe.