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

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 prep...

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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
Online Access	Get full text
ISSN	0938-7994 1432-1084 1432-1084
DOI	10.1007/s00330-017-5246-5

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Abstract	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 .
AbstractList	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. • 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. 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.PURPOSEThe 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.• 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.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. 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 .
Author	Bongartz, Georg Dekkers, Ilona A. Heinz-Peer, Gertraud Webb, Judith A. W. Stacul, Fulvio van der Molen, Aart J. Clement, Olivier Bertolotto, Michele Reimer, Peter Bellin, Marie-France Thomsen, Henrik S.
Author_xml	– sequence: 1 givenname: Aart J. surname: van der Molen fullname: van der Molen, Aart J. organization: Department of Radiology, C2-S, Leiden University Medical Center – sequence: 2 givenname: Peter surname: Reimer fullname: Reimer, Peter organization: Institute for Diagnostic and Interventional Radiology, Klinikum Karlsruhe, Academic Teaching Hospital of the University of Freiburg – sequence: 3 givenname: Ilona A. surname: Dekkers fullname: Dekkers, Ilona A. organization: Department of Radiology, C2-S, Leiden University Medical Center – sequence: 4 givenname: Georg surname: Bongartz fullname: Bongartz, Georg organization: Department of Diagnostic Radiology, University Hospitals of Basel – sequence: 5 givenname: Marie-France surname: Bellin fullname: Bellin, Marie-France organization: Service Central de Radiologie Hôpital Paul Brousse 14 – sequence: 6 givenname: Michele surname: Bertolotto fullname: Bertolotto, Michele organization: Department of Radiology, University of Trieste – sequence: 7 givenname: Olivier surname: Clement fullname: Clement, Olivier organization: Department of Radiology, Assistance Publique-Hôpitaux de Paris, Hôpital Européen Georges Pompidou – sequence: 8 givenname: Gertraud surname: Heinz-Peer fullname: Heinz-Peer, Gertraud organization: Department of Radiology, Zentralinstitut für medizinische Radiologie, Diagnostik und Intervention, Landesklinikum St. Pölten – sequence: 9 givenname: Fulvio surname: Stacul fullname: Stacul, Fulvio organization: S.C. Radiologia Ospedale Maggiore – sequence: 10 givenname: Judith A. W. surname: Webb fullname: Webb, Judith A. W. organization: Department of Radiology, St. Bartholomew’s Hospital, University of London – sequence: 11 givenname: Henrik S. surname: Thomsen fullname: Thomsen, Henrik S. email: Henrik.Thomsen@regionh.dk organization: Department of Diagnostic Radiology 54E2, Copenhagen University Hospital Herlev
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/29426991$$D View this record in MEDLINE/PubMed
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Snippet	Purpose The Contrast Media Safety Committee (CMSC) of the European Society of Urogenital Radiology (ESUR) has updated its 2011 guidelines on the prevention of... The Contrast Media Safety Committee (CMSC) of the European Society of Urogenital Radiology (ESUR) has updated its 2011 guidelines on the prevention of...
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SubjectTerms	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
Subtitle	Recommendations for updated ESUR Contrast Medium Safety Committee guidelines
Title	Post-contrast acute kidney injury – Part 1: Definition, clinical features, incidence, role of contrast medium and risk factors
URI	https://link.springer.com/article/10.1007/s00330-017-5246-5 https://www.ncbi.nlm.nih.gov/pubmed/29426991 https://www.proquest.com/docview/2001066719 https://pubmed.ncbi.nlm.nih.gov/PMC5986826
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