“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 – B. Renal adverse reactions

Dialysis and contrast medium administration. By clicking the box, you consent to us processing your personal data for the purpose of providing you with the newsletter, as specified here. Intermediate and low risk of NSF, 1. This counts as first pass renal exposure. March Henrik S. Consider an alternative imaging method not using iodine-based contrast media.

Contrast agents and contrast media. Breast feeding may be continued normally when iodine-based agents are given to the mother. However, the ESUR guidelines are not only about evidence-based data: Breast feeding should be avoided for 24 hours after contrast medium if high risk agents are used.

In exceptional circumstances, when radiographic examination is essential, iodine- based contrast media may be given to the pregnant female. Type and severity of reactions. Following administration of gadolinium-based agents to the mother during pregnancy, no neonatal tests are necessary.


Supportive treatment Severe, oon It is the case in catheter injections in the left heart, the thoracic aorta, the suprarenal abdominal aorta, or directly into the renal arteries. Use a different iodine-based agent for previous reactors to contrast medium. Our monthly Newsletter informs you about News at radiology. Guidelines to diminish the risk of lactic acidosis in non-insulin dependent diabetics after administration of contrast media.

Pateints with heart failure NYHA or end stage renal failure should get vontrast hydration.

ESUR Guidelines on Contrast Media – European Society of Urogenital Radiology

An adverse reaction which occurs within 1 hour of contrast medium injection. The effect of intraarterial IA application depends on the injection site: For intravenous contrast medium and intra-arterial contrast medium administration with second pass renal exposure hydrate the patient either a with intravenous sodium bicarbonate 1.

Use a non-ionic contrast medium. A variety of late symptoms e. Use iodine-based water-soluble contrast media and be prepared to treat meida reaction. Oral hydration alone is not recommended. A suitable protocol is intravenous normal saline, 1. Stages 2 and 3 rarely apply in the radiology setting. Late mefia reactions to intravascular iodine- based contrast media: Hypotensive shock Respiratory arrest Cardiac arrest Convulsion.

Intra-arterial administration of contrast medium High osmolality agents Large doses of contrast medium Multiple contrast medium administrations within a few days. High osmolar contrast gudelines. Bone, red blood cell labelling. Discuss the need to stop nephrotoxic drugs with the referring physician. Keep a proper record of the contrast medium injection time, dose, name. Cyclosporine Cisplatin Aminoglycosides Non steroid anti- inflammatory drugs Refer to renal adverse reactions section 2.


Extra hemodialysis session to remove contrast medium is unnecessary. Can iodine- and gadolinium-based contrast agents safely be given on the same day for routine examinations?

Pn intra-arterial iodine-based contrast medium: It their renal function has not deteriorated, they should restart metformin. The risk of AKI is similar for low-osmolar and iso-osmolar contrast agents. The patient has never been exposed to more than one agent. Although the contrast agents in current use have been on the market for many years, minor changes occur in their adverse reaction pattern and new observations are reported. How long should there be between two iodine-based contrast media injections for routine examinations?

Extra hemodialysis session to remove contrast medium is unnecessary. This differentiation is important for patient stratification: It provides the rationale for the guidelines in this booklet.

Bronchoscopic removal for large amounts.

CMSC guidelines are based on evidence in the literature whenever possible. We have modernized the layout to make it user-friendly as well as stylish.

Previous moderate or severe acute reaction see classification above to an iodine-based contrast agent. All equations x 1. Iodine-based contrast media B.