Post-contrast acute kidney injury – Part 1: Definition, clinical features, incidence, role of contrast medium and risk factors Recommendations for updated ESUR Contrast Medium Safety Committee guidelines

• Published in: European radiology Vol. 28; no. 7; pp. 2845 - 2855
• Main Authors: van der Molen, Aart J., Reimer, Peter, Dekkers, Ilona A., Bongartz, Georg, Bellin, Marie-France, Bertolotto, Michele, Clement, Olivier, Heinz-Peer, Gertraud, Stacul, Fulvio, Webb, Judith A. W., Thomsen, Henrik S.
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.07.2018
• Subjects: Acute Kidney Injury - chemically induced; Acute Kidney Injury - physiopathology; Administration, Intravenous; Contrast Media; Contrast Media - administration & dosage; Contrast Media - adverse effects; Diagnostic Radiology; Female; Glomerular Filtration Rate - physiology; Humans; Imaging; Incidence; Injections, Intra-Arterial; Internal Medicine; Interventional Radiology; Male; Medicine; Medicine & Public Health; Neuroradiology; Practice Guidelines as Topic; Radiography; Radiology; Risk Factors; Ultrasound; Practice guidelines as topic; Acute kidney injury; Contrast media; Risk factors; Glomerular filtration rate
• ISSN: 0938-7994; 1432-1084; 1432-1084
• DOI: 10.1007/s00330-017-5246-5

Purpose The Contrast Media Safety Committee (CMSC) of the European Society of Urogenital Radiology (ESUR) has updated its 2011 guidelines on the prevention of post-contrast acute kidney injury (PC-AKI). The results of the literature review and the recommendations based on it, which were used to prepare the new guidelines, are presented in two papers. Areas covered in part 1 Topics reviewed include the terminology used, the best way to measure eGFR, the definition of PC-AKI, and the risk factors for PC-AKI, including whether the risk with intravenous and intra-arterial contrast medium differs. Key Points • PC-AKI is the preferred term for renal function deterioration after contrast medium . • PC-AKI has many possible causes . • The risk of AKI caused by intravascular contrast medium has been overstated . • Important patient risk factors for PC-AKI are CKD and dehydration .