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European Radiology

, Volume 16, Issue 8, pp 1835–1840 | Cite as

Contrast-medium-induced nephropathy: is there a new consensus? A review of published guidelines

  • Henrik S. ThomsenEmail author
  • Sameh K. Morcos
Contrast Media

Abstract

The interest in contrast-medium-induced nephropathy has increased considerably during the last few years. Various guidelines regarding identifying patients at risk and measures to reduce the incidence of this complication have been proposed. The aim of this review was to analyse whether there is some consistency amongst these guidelines. A Medline search for the keyword “contrast medium induced nephropathy” during the period from the beginning of 2003 through the end of September 2005 was carried out. Only papers in English were reviewed. Thirteen guidelines were identified. Inconsistency was observed regarding advise on the prophylactic use of drugs and the isoosmolar dimer to reduce the incidence of contrast-medium-induced nephropathy. Consistency was found in relation to the importance of hydration, cessation of intake of nephrotoxic drugs and administration of the lowest possible dose of contrast medium. No new consensus has been observed in comparison to the European Society for Urogenital Radiology (ESUR) guidelines, which were published in 1999.

Keywords

Contrast media Nephropathy 

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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  1. 1.Department of Diagnostic Radiology 54E2Copenhagen University Hospital at HerlevHerlevDenmark
  2. 2.Department of Diagnostic ImagingNorthern General Hospital, Sheffield Teaching, Hospitals NHS Foundation TrustSheffieldUK

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