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

Aart J van der Molen; Peter Reimer; Ilona A Dekkers; Georg Bongartz; Marie-France Bellin; Michele Bertolotto; Olivier Clement; Gertraud Heinz-Peer; Fulvio Stacul; Judith A W Webb; Henrik S Thomsen

doi:10.1007/s00330-017-5246-5

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

Aart J van der Molen, Peter Reimer, Ilona A Dekkers, Georg Bongartz, Marie-France Bellin, Michele Bertolotto, Olivier Clement, Gertraud Heinz-Peer, Fulvio Stacul, Judith A W Webb, Henrik S Thomsen

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

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

399 Citations (Scopus)

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.

Original language	English
Pages (from-to)	2845-2855
Number of pages	11
Journal	European Radiology
Volume	28
Issue number	7
DOIs	https://doi.org/10.1007/s00330-017-5246-5
Publication status	Published - 01 Jul 2018

Keywords

Acute Kidney Injury/chemically induced
Administration, Intravenous
Contrast Media/administration & dosage
Female
Glomerular Filtration Rate/physiology
Humans
Incidence
Injections, Intra-Arterial
Male
Practice Guidelines as Topic
Radiography
Risk Factors
Acute kidney injury
Practice guidelines as topic
Risk factors
Glomerular filtration rate
Contrast media

ASJC Scopus subject areas

Radiology, Nuclear Medicine and Imaging

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van der Molen, A. J., Reimer, P., Dekkers, I. A., Bongartz, G., Bellin, M.-F., Bertolotto, M., Clement, O., Heinz-Peer, G., Stacul, F., Webb, J. A. W., & Thomsen, H. S. (2018). 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. European Radiology, 28(7), 2845-2855. https://doi.org/10.1007/s00330-017-5246-5

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title = "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",

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.",

keywords = "Acute Kidney Injury/chemically induced, Administration, Intravenous, Contrast Media/administration \& dosage, Female, Glomerular Filtration Rate/physiology, Humans, Incidence, Injections, Intra-Arterial, Male, Practice Guidelines as Topic, Radiography, Risk Factors, Acute kidney injury, Practice guidelines as topic, Risk factors, Glomerular filtration rate, Contrast media",

author = "\{van der Molen\}, \{Aart J\} and Peter Reimer and Dekkers, \{Ilona A\} and Georg Bongartz and Marie-France Bellin and Michele Bertolotto and Olivier Clement and Gertraud Heinz-Peer and Fulvio Stacul and Webb, \{Judith A W\} and Thomsen, \{Henrik S\}",

note = "Publisher Copyright: {\textcopyright} 2018, The Author(s).",

year = "2018",

month = jul,

day = "1",

doi = "10.1007/s00330-017-5246-5",

language = "English",

volume = "28",

pages = "2845--2855",

journal = "European Radiology",

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van der Molen, AJ, Reimer, P, Dekkers, IA, Bongartz, G, Bellin, M-F, Bertolotto, M, Clement, O, Heinz-Peer, G, Stacul, F, Webb, JAW & Thomsen, HS 2018, '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', European Radiology, vol. 28, no. 7, pp. 2845-2855. https://doi.org/10.1007/s00330-017-5246-5

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. / van der Molen, Aart J; Reimer, Peter; Dekkers, Ilona A et al.
In: European Radiology, Vol. 28, No. 7, 01.07.2018, p. 2845-2855.

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

TY - JOUR

T1 - Post-contrast acute kidney injury - Part 1

T2 - Definition, clinical features, incidence, role of contrast medium and risk factors : Recommendations for updated ESUR Contrast Medium Safety Committee guidelines

AU - van der Molen, Aart J

AU - Reimer, Peter

AU - Dekkers, Ilona A

AU - Bongartz, Georg

AU - Bellin, Marie-France

AU - Bertolotto, Michele

AU - Clement, Olivier

AU - Heinz-Peer, Gertraud

AU - Stacul, Fulvio

AU - Webb, Judith A W

AU - Thomsen, Henrik S

PY - 2018/7/1

Y1 - 2018/7/1

N2 - 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.

AB - 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.

KW - Acute Kidney Injury/chemically induced

KW - Administration, Intravenous

KW - Contrast Media/administration & dosage

KW - Female

KW - Glomerular Filtration Rate/physiology

KW - Humans

KW - Incidence

KW - Injections, Intra-Arterial

KW - Male

KW - Practice Guidelines as Topic

KW - Radiography

KW - Risk Factors

KW - Acute kidney injury

KW - Practice guidelines as topic

KW - Risk factors

KW - Glomerular filtration rate

KW - Contrast media

UR - https://www.scopus.com/pages/publications/85041836870

U2 - 10.1007/s00330-017-5246-5

DO - 10.1007/s00330-017-5246-5

M3 - Review article

C2 - 29426991

SN - 0938-7994

VL - 28

SP - 2845

EP - 2855

JO - European Radiology

JF - European Radiology

IS - 7

ER -

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

Abstract

Keywords

ASJC Scopus subject areas

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