Contrast induced nephropathy: updated ESUR Contrast Media Safety Committee guidelines |
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Authors: | Fulvio Stacul Aart J. van der Molen Peter Reimer Judith A. W. Webb Henrik S. Thomsen Sameh K. Morcos Torsten Alm��n Peter Aspelin Marie-France Bellin Olivier Clement Gertraud Heinz-Peer |
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Affiliation: | S.C. Radiologia Ospedale Maggiore, Piazza Ospitale 1, 34134 Tieste, Italy. |
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Abstract: | 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. |
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