To highlight potential adverse effects of contrast agents. •! To produce guidelines on the safe use of contrast media in different clinical Version has until. “Contrast agents are much less nephrotoxic than previously thought”, said Aart van der the current ESUR Contrast Media Safety Committee (CMSC) guideline. It is a great honor for the Contrast Media Safety Committee of the European So- ciety of Urogenital Radiology (ESUR) to present version of its Contrast Media 7. 1. AN OVERVIEW. This overview summarizes some of the most important.

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Iodine-based contrast media B.

Contrast media :

Recommendation for a questionnaire at the time of booking. For intravenous contrast medium and intra-arterial contrast medium administration with second pass renal exposure hydrate the patient either a with intravenous sodium bicarbonate 1.

Laboratory testing of renal function eGFR is not mandatory.

March Contrash S. You may at any time with future effect revoke your consent to receive our newsletter. Eur Radiol ; 9: Iodine-based contrast medium Correlation of time of the contrast medium injection with the hemodialysis session is unnecessary. Skin reactions similar in type to other drug induced eruptions.


Use a different gadolinium-based agent for previous reactors to contrast medium.

Powered Guidlines T3 Framework. Previous moderate or severe acute reaction see classification above to an iodine-based contrast agent. In all patients, avoid osmotic and fluid overload. Intravenous IV contrast reaches the renal arteries after passing the right heart and the pulmonary circulation and is thus diluted.

Dialysis and contrast medium administration.

Increased pulmonary vascular resistance. Gadolinium-based contrast agents attenuate X-rays well and medua be misinterpreted on CT when they have been excreted into the urinary tract. Oral hydration is not recommended as the sole method of preventive hydration.

Use of a power injector. Patients with diabetes mellitus taking metformin B. Continue volume expansion Determine eGFR h after contrast medium. Start volume expansion as early as possible before contrast medium contrasst see elective examination. Contrast agents and contrast media.

ESUR Guidelines on Contrast Media – European Society of Urogenital Radiology

The risk of reaction is not related to the osmolality of the contrast agent: Patient with a history of: Extra hemodialysis session to remove contrast medium is unnecessary. Iodinated Contrast Media and Blood interactions.


CMSC guidelines are based on evidence in the literature whenever possible. Avoid agents which have shown cross-reactivity on skin testing. Patch and delayed reading intradermal tests may be useful to confirm a late skin reaction to contrast medium and to study cross- reactivity patterns with other agents.

From the day of exposure for up to months, sometimes up to years after exposure. Keep the ratio of iodine dose in gram iodine and absolute GFR below 1. Late skin reactions of the type which occur after iodine-based contrast media have not been described after gadolinium-based and ultrasound contrast media.

Nausea, mild vomiting Urticaria Itching.

ESUR Update 2018

Intra-arterial injection with second pass renal exposure indicates that contrast agent reaches the renal arteries after dilution either in the pulmonary or peripheral circulation, e. Renal adverse reactions to gadolinium-based contrast agents B.

Patients at high risk. Please send me the monthly newsletter. Estimated to be 0.