ESUR GUIDELINE*: GADOLINIUM BASED. CONTRAST MEDIA AND NEPHROGENIC. SYSTEMIC Incidence of NSF: % in at-risk subjects. Contrast media · › Contrast media · › Prostate MRI · › NSF · › NSF Endometrial Cancer MRI Staging: Updated Guidelines of the European European Society of Urogenital Radiology (ESUR) Guidelines: MR Imaging of Leiomyomas. the proposals from EMA regarding gadolinium based Contrast Media Strong warnings are included in the GdCAs of medium and low NSF risk as during a scan and with a minimum 7 day interval between administrations. ESUR; esursecretary(at); About ESUR · ESUR Guidelines.

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Late adverse reactions to intravascular medua based contrast media: All departments know about the particular hydration protocols and are responsible for implementing them in every patient.

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ESUR Update –

At risk patients see above. Diagnostic results can be achieved with lower doses than extracellular Gd-CM. You may at any time with future effect revoke your consent to receive our newsletter. No pharmacological prophylaxis with renal vasodilators, receptor antagonists of endogenous vasoactive mediators or cytoprotective drugs has yet been shown to offer consistent protection against contrast induced nephropathy.

Before intra-arterial iodine-based contrast contraxt Late adverse reactions to intravascular iodinated contrast media. Stop breastfeeding for 24 hours and discard the milk. Skin reactions similar in type to other drug induced eruptions. Dialysis and contrast media. For patients at increased risk of reaction see risk factors above. High osmolar contrast media. Do not mix contrast media with other drugs in tubes and syringes. This counts as first pass renal exposure.


Gadolinium-based contrast media are more nephrotoxic than iodine-based contrast media in equivalent X-ray attenuating doses. Contrast medium extravasation injury: Most injuries are minor. Reducing the risk of iodine-based and MRI contrast media administration: Contrat counts as second pass renal exposure.

Management of acute adverse reactions to contrast media. Use non-ionic iodine-based contrast medium. Conhrast with a history of: Patients at risk should be closely monitored by endocrinologists after iodine- based contrast medium injection.

Female Pelvis

Type of reaction Iodine-based contrast media. Appropriate antiemetic drugs should be considered. The use of iodinated and gadolinium contrast media during pregnancy and lactation.

Safety of ultrasound contrast agents. Risk factors for skin reactions: Start volume expansion as early as possible before contrast medium administration see elective examination.

ESUR Update 2018

Questionnaires to be completed by clinicians referring patients for examinations using iodine- or gadolinium-based contrast media. An adverse reaction which occurs within 1 hour of contrast medium injection. Guidelines Meticulous congrast technique is mandatory and is the most important factor in reducing thromboembolic complications. Use a different iodine-based agent for previous reactors to contrast medium.


Eur Radiol ; 9: In which patients should serum-creatinine be measured before contrast medium administration?

There is no additional AKI risk in patients with solitary kidneys, kidney transplants, multiple myeloma or monoclonal gammopathy. Previous allergic reactions to barium products. Van der Molen answered that care in these patients starts one step esue the ESUR guideline kicks in: All contrast media have anticoagulant properties, especially ionic agents. If a hospital does this, these patients will not require special precautions. The risk of AKI is similar for low-osmolar and iso-osmolar contrast agents.

Have the drugs and equipment for resuscitation readily available see 1.

Consider an contdast test not requiring an iodine-based contrast agent. In all patients use the smallest amount of contrast medium necessary for a diagnostic result. Pregnant or lactating mother with renal impairment. Previous moderate or severe acute reaction see classification above to an iodine-based contrast agent. Supportive treatment including observation. Symptomatic and similar to the management of other drug-induced skin gudelines e.

In all patients, avoid osmotic and fluid overload. Antibiotics and intravenous fluids. Usage of cookies We would like to use cookies to better understand your use of this website.

Eur J Radiol ;