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Journal Article
Contrast induced nephropathy: updated ESUR Contrast Media Safety Committee guidelines
2011
Overview
Purpose
The Contrast Media Safety Committee (CMSC) of the European Society of Urogenital Radiology (ESUR) has updated its 1999 guidelines on contrast medium-induced nephropathy (CIN).
Areas covered
Topics reviewed include the definition of CIN, the choice of contrast medium, the prophylactic measures used to reduce the incidence of CIN, and the management of patients receiving metformin.
Key Points
• Definition, risk factors and prevention of contrast medium induced nephropathy are reviewed.
• CIN risk is lower with intravenous than intra-arterial iodinated contrast medium.
• eGFR of 45 ml/min/1.73 m
2
is CIN risk threshold for intravenous contrast medium.
• Hydration with either saline or sodium bicarbonate reduces CIN incidence.
• Patients with eGFR ≥60 ml/min/1.73 m
2
receiving contrast medium can continue metformin normally.
Publisher
Springer-Verlag,Springer Nature B.V
Subject
/ Contrast Media - administration & dosage
/ Contrast Media - adverse effects
/ Coronary Angiography - adverse effects
/ Coronary Angiography - methods
/ Europe
/ Female
/ Gadolinium - administration & dosage
/ Gadolinium - adverse effects
/ Heart Failure - diagnostic imaging
/ Humans
/ Imaging
/ Iodine
/ Iodine - administration & dosage
/ Male
/ Medicine
/ Practice Guidelines as Topic
/ Renal Insufficiency - chemically induced
/ Renal Insufficiency - physiopathology
/ Renal Insufficiency - prevention & control
/ Sodium Bicarbonate - administration & dosage
