Intravenous contrast medium extravasation: systematic review and updated ESUR Contrast Media Safety Committee Guidelines

Giles Roditi; Nadir Khan; Aart J. van der Molen; Marie France Bellin; Michele Bertolotto; Torkel Brismar; Jean Michel Correas; Ilona A. Dekkers; Remy W.F. Geenen; Gertraud Heinz-Peer; Andreas H. Mahnken; Carlo C. Quattrocchi; Alexander Radbruch; Peter Reimer; Laura Romanini; Fulvio Stacul; Henrik S. Thomsen; Olivier Clément

doi:10.1007/s00330-021-08433-4

Intravenous contrast medium extravasation: systematic review and updated ESUR Contrast Media Safety Committee Guidelines

Giles Roditi, Nadir Khan, Aart J. van der Molen, Marie France Bellin, Michele Bertolotto, Torkel Brismar, Jean Michel Correas, Ilona A. Dekkers, Remy W.F. Geenen, Gertraud Heinz-Peer, Andreas H. Mahnken, Carlo C. Quattrocchi, Alexander Radbruch, Peter Reimer, Laura Romanini, Fulvio Stacul, Henrik S. Thomsen, Olivier Clément^*

^*Corresponding author for this work

Institute of Diagnostic and Interventional Radiology (University Hospital St. Pölten)

Research output: Journal article (peer-reviewed) › Journal article

24 Citations (Scopus)

Abstract

Need for a review: Guidelines for management and prevention of contrast media extravasation have not been updated recently. In view of emerging research and changing working practices, this review aims to inform update on the current guidelines. Areas covered: In this paper, we review the literature pertaining to the pathophysiology, diagnosis, risk factors and treatments of contrast media extravasation. A suggested protocol and guidelines are recommended based upon the available literature. Key Points: • Risk of extravasation is dependent on scanning technique and patient risk factors. • Diagnosis is mostly clinical, and outcomes are mostly favourable. • Referral to surgery should be based on clinical severity rather than extravasated volume.

Original language	English
Pages (from-to)	3056-3066
Number of pages	11
Journal	European Radiology
Volume	32
Issue number	5
DOIs	https://doi.org/10.1007/s00330-021-08433-4
Publication status	Published - May 2022

Keywords

Contrast media
Extravasation of diagnostic and therapeutic materials
Prevention and treatments
Risk factors

ASJC Scopus subject areas

Radiology, Nuclear Medicine and Imaging

Access to Document

10.1007/s00330-021-08433-4

Cite this

Roditi, G., Khan, N., van der Molen, A. J., Bellin, M. F., Bertolotto, M., Brismar, T., Correas, J. M., Dekkers, I. A., Geenen, R. W. F., Heinz-Peer, G., Mahnken, A. H., Quattrocchi, C. C., Radbruch, A., Reimer, P., Romanini, L., Stacul, F., Thomsen, H. S., & Clément, O. (2022). Intravenous contrast medium extravasation: systematic review and updated ESUR Contrast Media Safety Committee Guidelines. European Radiology, 32(5), 3056-3066. https://doi.org/10.1007/s00330-021-08433-4

@article{edda8a1b48e647ab9af4c026a3106895,

title = "Intravenous contrast medium extravasation: systematic review and updated ESUR Contrast Media Safety Committee Guidelines",

abstract = "Need for a review: Guidelines for management and prevention of contrast media extravasation have not been updated recently. In view of emerging research and changing working practices, this review aims to inform update on the current guidelines. Areas covered: In this paper, we review the literature pertaining to the pathophysiology, diagnosis, risk factors and treatments of contrast media extravasation. A suggested protocol and guidelines are recommended based upon the available literature. Key Points: • Risk of extravasation is dependent on scanning technique and patient risk factors. • Diagnosis is mostly clinical, and outcomes are mostly favourable. • Referral to surgery should be based on clinical severity rather than extravasated volume.",

keywords = "Contrast media, Extravasation of diagnostic and therapeutic materials, Prevention and treatments, Risk factors",

author = "Giles Roditi and Nadir Khan and {van der Molen}, {Aart J.} and Bellin, {Marie France} and Michele Bertolotto and Torkel Brismar and Correas, {Jean Michel} and Dekkers, {Ilona A.} and Geenen, {Remy W.F.} and Gertraud Heinz-Peer and Mahnken, {Andreas H.} and Quattrocchi, {Carlo C.} and Alexander Radbruch and Peter Reimer and Laura Romanini and Fulvio Stacul and Thomsen, {Henrik S.} and Olivier Cl{\'e}ment",

note = "Publisher Copyright: {\textcopyright} 2022, The Author(s).",

year = "2022",

month = may,

doi = "10.1007/s00330-021-08433-4",

language = "English",

volume = "32",

pages = "3056--3066",

journal = "European Radiology",

issn = "0938-7994",

publisher = "Springer Verlag",

number = "5",

}

Roditi, G, Khan, N, van der Molen, AJ, Bellin, MF, Bertolotto, M, Brismar, T, Correas, JM, Dekkers, IA, Geenen, RWF, Heinz-Peer, G, Mahnken, AH, Quattrocchi, CC, Radbruch, A, Reimer, P, Romanini, L, Stacul, F, Thomsen, HS & Clément, O 2022, 'Intravenous contrast medium extravasation: systematic review and updated ESUR Contrast Media Safety Committee Guidelines', European Radiology, vol. 32, no. 5, pp. 3056-3066. https://doi.org/10.1007/s00330-021-08433-4

TY - JOUR

T1 - Intravenous contrast medium extravasation

T2 - systematic review and updated ESUR Contrast Media Safety Committee Guidelines

AU - Roditi, Giles

AU - Khan, Nadir

AU - van der Molen, Aart J.

AU - Bellin, Marie France

AU - Bertolotto, Michele

AU - Brismar, Torkel

AU - Correas, Jean Michel

AU - Dekkers, Ilona A.

AU - Geenen, Remy W.F.

AU - Heinz-Peer, Gertraud

AU - Mahnken, Andreas H.

AU - Quattrocchi, Carlo C.

AU - Radbruch, Alexander

AU - Reimer, Peter

AU - Romanini, Laura

AU - Stacul, Fulvio

AU - Thomsen, Henrik S.

AU - Clément, Olivier

PY - 2022/5

Y1 - 2022/5

N2 - Need for a review: Guidelines for management and prevention of contrast media extravasation have not been updated recently. In view of emerging research and changing working practices, this review aims to inform update on the current guidelines. Areas covered: In this paper, we review the literature pertaining to the pathophysiology, diagnosis, risk factors and treatments of contrast media extravasation. A suggested protocol and guidelines are recommended based upon the available literature. Key Points: • Risk of extravasation is dependent on scanning technique and patient risk factors. • Diagnosis is mostly clinical, and outcomes are mostly favourable. • Referral to surgery should be based on clinical severity rather than extravasated volume.

AB - Need for a review: Guidelines for management and prevention of contrast media extravasation have not been updated recently. In view of emerging research and changing working practices, this review aims to inform update on the current guidelines. Areas covered: In this paper, we review the literature pertaining to the pathophysiology, diagnosis, risk factors and treatments of contrast media extravasation. A suggested protocol and guidelines are recommended based upon the available literature. Key Points: • Risk of extravasation is dependent on scanning technique and patient risk factors. • Diagnosis is mostly clinical, and outcomes are mostly favourable. • Referral to surgery should be based on clinical severity rather than extravasated volume.

KW - Contrast media

KW - Extravasation of diagnostic and therapeutic materials

KW - Prevention and treatments

KW - Risk factors

UR - http://www.scopus.com/inward/record.url?scp=85124938126&partnerID=8YFLogxK

U2 - 10.1007/s00330-021-08433-4

DO - 10.1007/s00330-021-08433-4

M3 - Journal article

C2 - 35175378

AN - SCOPUS:85124938126

SN - 0938-7994

VL - 32

SP - 3056

EP - 3066

JO - European Radiology

JF - European Radiology

IS - 5

ER -

Intravenous contrast medium extravasation: systematic review and updated ESUR Contrast Media Safety Committee Guidelines

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this