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  1. Book: Contrast media

    Webb, Judith A. W. / Thomsen, Henrik S.

    safety issues and ESUR guidelines

    (Medical radiology : Diagnostic imaging)

    2014  

    Author's details Henrik S. Thomsen ; Judith A. W. Webb ed
    Series title Medical radiology : Diagnostic imaging
    Keywords Contrast Media ; Safety Management / standards ; Kontrastmittel ; Nebenwirkung
    Subject Röntgenkontrastmittel ; X-ray contrast media ; Radiopaques
    Language English
    Size XVI, 280 S. : Ill., graph. Darst.
    Edition 3. ed.
    Publisher Springer
    Publishing place Berlin u.a.
    Publishing country Germany
    Document type Book
    HBZ-ID HT018160908
    ISBN 978-3-642-36723-6 ; 9783642367243 ; 3-642-36723-2 ; 3642367240
    Database Catalogue ZB MED Medicine, Health

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  2. Book: Contrast media

    Thomsen, Henrik S / Webb, Judith A. W

    safety issues and ESUR guidelines

    (Medical radiology. Diagnostic imaging,)

    2014  

    Institution European Society of Urogenital Radiology
    Series title Medical radiology. Diagnostic imaging,
    MeSH term(s) Contrast Media/adverse effects ; Safety Management/standards ; Extravasation of Diagnostic and Therapeutic Materials
    Keywords Europe
    Language English
    Size xvi, 280 pages :, illustrations.
    Edition Third edition /
    Document type Book
    ISBN 9783642367236 ; 9783642367243 ; 3642367232 ; 3642367240
    Database Catalogue of the US National Library of Medicine (NLM)

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  3. Book ; Online: Contrast Media

    Thomsen, Henrik S / Webb, Judith A. W

    Safety Issues and ESUR Guidelines

    (Medical Radiology)

    2014  

    Abstract: In 1994 the European Society of Urogenital Radiology (ESUR) set up a committee to consider the safety of contrast media used for diagnostic imaging. Subsequently the committee questioned ESUR members, reviewed the literature, proposed guidelines, and ... ...

    Author's details edited by Henrik S. Thomsen, Judith A. W. Webb
    Series title Medical Radiology
    Abstract In 1994 the European Society of Urogenital Radiology (ESUR) set up a committee to consider the safety of contrast media used for diagnostic imaging. Subsequently the committee questioned ESUR members, reviewed the literature, proposed guidelines, and discussed these proposals with participants at the annual symposia of the society. The end result of this work was the successful first edition of this book, published in 2006, which was followed by an equally successful second edition in 2009. This third edition not only fully updates the previous edition, but also includes new chapters on complex topics such as use of contrast media in children and practical aspects of off-label contrast media use. The authorship includes members, past members, and non-members of the Contrast Media Safety Committee.   Comprehensive consideration is given to the many different safety issues relating to iodine-based contrast media, gadolinium-based contrast media, microbubbles for ultrasound, and barium sulfate. The text includes chapters on both acute and delayed non-renal adverse reactions and on renal adverse reactions. All of the questions frequently raised in radiological practice are addressed. This book, presented in a handy, easy-to-use format, provides an invaluable, unique, and unparalleled source of information
    Keywords Cardiology ; Medicine ; Nephrology ; Radiology, Medical
    Language English
    Size Online-Ressource (XVI, 280 p. 20 illus), online resource
    Edition 3rd ed. 2014
    Publisher Springer Berlin Heidelberg
    Publishing place Berlin, Heidelberg ;s.l
    Document type Book ; Online
    Note Description based upon print version of record
    ISBN 9783642367236 ; 9783642367243 ; 3642367232 ; 3642367240
    DOI 10.1007/978-3-642-36724-3
    Database Former special subject collection: coastal and deep sea fishing

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  4. Article ; Online: Gadolinium contrast media during pregnancy and lactation.

    Webb, Judith A W / Thomsen, Henrik S

    Acta radiologica (Stockholm, Sweden : 1987)

    2013  Volume 54, Issue 6, Page(s) 599–600

    MeSH term(s) Animals ; Contrast Media/adverse effects ; Contrast Media/pharmacokinetics ; Diagnostic Imaging ; Female ; Gadolinium/adverse effects ; Gadolinium/pharmacokinetics ; Humans ; Lactation/drug effects ; Maternal-Fetal Exchange ; Nephrogenic Fibrosing Dermopathy/chemically induced ; Off-Label Use ; Pregnancy ; Prenatal Exposure Delayed Effects
    Chemical Substances Contrast Media ; Gadolinium (AU0V1LM3JT)
    Language English
    Publishing date 2013-07
    Publishing country England
    Document type Editorial
    ZDB-ID 105-3
    ISSN 1600-0455 ; 0284-1851 ; 0349-652X
    ISSN (online) 1600-0455
    ISSN 0284-1851 ; 0349-652X
    DOI 10.1177/0284185113484894
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Book: Contrast media

    Thomsen, Henrik S / Webb, Judith A. W / Aspelin, Peter

    safety issues and ESUR guidelines

    (Medical radiology. Diagnostic imaging,)

    2009  

    Institution European Society of Urogenital Radiology
    Series title Medical radiology. Diagnostic imaging,
    MeSH term(s) Contrast Media/adverse effects ; Safety Management/standards ; Extravasation of Diagnostic and Therapeutic Materials
    Keywords Europe
    Language English
    Size xiii, 254 p. :, ill.
    Edition 2nd rev ed. /
    Publisher Springer
    Publishing place Berlin
    Document type Book
    Note Prev. ed. of: Contrast media / H. S. Thomsen. c2006.
    ISBN 9783540727835 ; 3540727833 ; 9783540727842 ; 3540727841
    Database Catalogue of the US National Library of Medicine (NLM)

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  6. Article ; Online: 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 / Bongartz, Georg / Bellin, Marie-France / Bertolotto, Michele / Clement, Olivier / Heinz-Peer, Gertraud / Stacul, Fulvio / Webb, Judith A W / Thomsen, Henrik S

    European radiology

    2018  Volume 28, Issue 7, Page(s) 2845–2855

    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 ... ...

    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.
    MeSH term(s) Acute Kidney Injury/chemically induced ; Acute Kidney Injury/physiopathology ; Administration, Intravenous ; Contrast Media/administration & dosage ; Contrast Media/adverse effects ; Female ; Glomerular Filtration Rate/physiology ; Humans ; Incidence ; Injections, Intra-Arterial ; Male ; Practice Guidelines as Topic ; Radiography ; Risk Factors
    Chemical Substances Contrast Media
    Language English
    Publishing date 2018-02-09
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 1085366-2
    ISSN 1432-1084 ; 0938-7994 ; 1613-3749
    ISSN (online) 1432-1084
    ISSN 0938-7994 ; 1613-3749
    DOI 10.1007/s00330-017-5246-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Post-contrast acute kidney injury. Part 2: risk stratification, role of hydration and other prophylactic measures, patients taking metformin and chronic dialysis patients : Recommendations for updated ESUR Contrast Medium Safety Committee guidelines.

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

    European radiology

    2018  Volume 28, Issue 7, Page(s) 2856–2869

    Abstract: Objectives: 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 ... ...

    Abstract Objectives: 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 2: Topics reviewed include stratification of PC-AKI risk, the need to withdraw nephrotoxic medication, PC-AKI prophylaxis with hydration or drugs, the use of metformin in diabetic patients receiving contrast medium and the need to alter dialysis schedules in patients receiving contrast medium.
    Key points: • In CKD, hydration reduces the PC-AKI risk • Intravenous normal saline and intravenous sodium bicarbonate provide equally effective prophylaxis • No drugs have been consistently shown to reduce the risk of PC-AKI • Stop metformin from the time of contrast medium administration if eGFR < 30 ml/min/1.73 m
    MeSH term(s) Acute Kidney Injury/chemically induced ; Acute Kidney Injury/physiopathology ; Adult ; Child ; Contraindications, Drug ; Contrast Media/administration & dosage ; Contrast Media/adverse effects ; Drug Substitution ; Female ; Fluid Therapy/methods ; Glomerular Filtration Rate/physiology ; Humans ; Hypoglycemic Agents/adverse effects ; Injections, Intra-Arterial ; Iodine/administration & dosage ; Iodine/adverse effects ; Male ; Metformin/adverse effects ; Practice Guidelines as Topic ; Radiography ; Renal Dialysis ; Risk Assessment ; Risk Factors ; Sodium Chloride/administration & dosage
    Chemical Substances Contrast Media ; Hypoglycemic Agents ; Sodium Chloride (451W47IQ8X) ; Metformin (9100L32L2N) ; Iodine (9679TC07X4)
    Language English
    Publishing date 2018-02-07
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 1085366-2
    ISSN 1432-1084 ; 0938-7994 ; 1613-3749
    ISSN (online) 1432-1084
    ISSN 0938-7994 ; 1613-3749
    DOI 10.1007/s00330-017-5247-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Iodine-based contrast media, multiple myeloma and monoclonal gammopathies: literature review and ESUR Contrast Media Safety Committee guidelines.

    Stacul, Fulvio / Bertolotto, Michele / Thomsen, Henrik S / Pozzato, Gabriele / Ugolini, Donatella / Bellin, Marie-France / Bongartz, Georg / Clement, Olivier / Heinz-Peer, Gertraud / van der Molen, Aart / Reimer, Peter / Webb, Judith A W

    European radiology

    2017  Volume 28, Issue 2, Page(s) 683–691

    Abstract: Objectives: Many radiologists and clinicians still consider multiple myeloma (MM) and monoclonal gammopathies (MG) a contraindication for using iodine-based contrast media. The ESUR Contrast Media Safety Committee performed a systematic review of the ... ...

    Abstract Objectives: Many radiologists and clinicians still consider multiple myeloma (MM) and monoclonal gammopathies (MG) a contraindication for using iodine-based contrast media. The ESUR Contrast Media Safety Committee performed a systematic review of the incidence of post-contrast acute kidney injury (PC-AKI) in these patients.
    Methods: A systematic search in Medline and Scopus databases was performed for renal function deterioration studies in patients with MM or MG following administration of iodine-based contrast media. Data collection and analysis were performed according to the PRISMA statement 2009. Eligibility criteria and methods of analysis were specified in advance. Cohort and case-control studies reporting changes in renal function were included.
    Results: Thirteen studies were selected that reported 824 iodine-based contrast medium administrations in 642 patients with MM or MG, in which 12 unconfounded cases of PC-AKI were found (1.6 %). The majority of patients had intravenous urography with high osmolality ionic contrast media after preparatory dehydration and purgation.
    Conclusions: MM and MG alone are not risk factors for PC-AKI. However, the risk of PC-AKI may become significant in dehydrated patients with impaired renal function. Hypercalcaemia may increase the risk of kidney damage, and should be corrected before contrast medium administration. Assessment for Bence-Jones proteinuria is not necessary.
    Key points: • Monoclonal gammopathies including multiple myeloma are a large spectrum of disorders. • In monoclonal gammopathy with normal renal function, PC-AKI risk is not increased. • Renal function is often reduced in myeloma, increasing the risk of PC-AKI. • Correction of hypercalcaemia is necessary in myeloma before iodine-based contrast medium administration. • Bence-Jones proteinuria assessment in myeloma is unnecessary before iodine-based contrast medium administration.
    MeSH term(s) Acute Kidney Injury/chemically induced ; Acute Kidney Injury/epidemiology ; Acute Kidney Injury/prevention & control ; Contrast Media/adverse effects ; Europe ; Humans ; Incidence ; Iodine/adverse effects ; Multiple Myeloma/diagnosis ; Paraproteinemias/diagnosis ; Radiology ; Risk Factors ; Societies, Medical
    Chemical Substances Contrast Media ; Iodine (9679TC07X4)
    Language English
    Publishing date 2017-08-30
    Publishing country Germany
    Document type Journal Article ; Review ; Systematic Review
    ZDB-ID 1085366-2
    ISSN 1432-1084 ; 0938-7994 ; 1613-3749
    ISSN (online) 1432-1084
    ISSN 0938-7994 ; 1613-3749
    DOI 10.1007/s00330-017-5023-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Book ; Online: Contrast Media

    Baert, A. L / Knauth, M / Thomsen, Henrik S / Webb, Judith A. W

    Safety Issues and ESUR Guidelines

    (Medical Radiology, Diagnostic Imaging)

    2009  

    Abstract: Presents information on the safety issues relating to contrast media. It contains chapters on gadolinium-based contrast agents, meta-analyses in contrast media research and various regulatory issues. It focuses on many different safety issues relating to ...

    Author's details edited by A. L. Baert, M. Knauth, Henrik S. Thomsen, Judith A. W. Webb
    Series title Medical Radiology, Diagnostic Imaging
    Abstract Presents information on the safety issues relating to contrast media. It contains chapters on gadolinium-based contrast agents, meta-analyses in contrast media research and various regulatory issues. It focuses on many different safety issues relating to iodinated, MR, ultrasound and barium contrast media
    Keywords Cardiology ; Medicine ; Nephrology ; Radiology, Medical
    Language English
    Size Online-Ressource, v.: digital
    Edition 2nd Revised Edition
    Publisher Springer Berlin Heidelberg
    Publishing place Berlin, Heidelberg
    Document type Book ; Online
    Note Includes bibliographical references and index ; Prev. ed.: Contrast media / H. S. Thomsen. c2006
    ISBN 9783540727835 ; 9783540727842 ; 3540727833 ; 3540727841
    DOI 10.1007/978-3-540-72784-2
    Database Former special subject collection: coastal and deep sea fishing

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  10. Article: The use of iodinated and gadolinium contrast media during pregnancy and lactation.

    Webb, Judith A W / Thomsen, Henrik S / Morcos, Sameh K

    European radiology

    2004  Volume 15, Issue 6, Page(s) 1234–1240

    Abstract: The use of iodinated or gadolinium-based contrast media in pregnant or lactating women often causes concerns in the radiology department because of the principle of not exposing a fetus or neonate to any drugs. Because of the uncertainty about the use of ...

    Abstract The use of iodinated or gadolinium-based contrast media in pregnant or lactating women often causes concerns in the radiology department because of the principle of not exposing a fetus or neonate to any drugs. Because of the uncertainty about the use of contrast media during pregnancy and lactation, the Contrast Media Safety Committee of the European Society of Urogenital Radiology decided to review the literature and draw up guidelines. An extensive literature search was carried out and summarized in a report. Based on the limited information available, simple guidelines have been drawn up. The report and guidelines were discussed at the 11th European Symposium on Urogenital Radiology in Santiago de Compostela, Spain. Mutagenic and teratogenic effects have not been described after administration of gadolinium or iodinated contrast media. Free iodide in radiographic contrast medium given to the mother has the potential to depress fetal/neonatal thyroid function. Neonatal thyroid function should be checked during the 1st week if iodinated contrast media have been given during pregnancy. No effect on the fetus has been seen after gadolinium contrast media. Only tiny amounts of iodinated or gadolinium-based contrast medium given to a lactating mother reach the milk, and only a minute proportion entering the baby's gut is absorbed. The very small potential risk associated with absorption of contrast medium may be considered insufficient to warrant stopping breast-feeding for 24 h following either iodinated or gadolinium contrast agents.
    MeSH term(s) Contrast Media/administration & dosage ; Contrast Media/adverse effects ; Female ; Gadolinium/administration & dosage ; Gadolinium/adverse effects ; Humans ; Infant ; Infant, Newborn ; Iodine/administration & dosage ; Iodine/adverse effects ; Lactation/drug effects ; Pregnancy
    Chemical Substances Contrast Media ; Iodine (9679TC07X4) ; Gadolinium (AU0V1LM3JT)
    Language English
    Publishing date 2004-12-18
    Publishing country Germany
    Document type Guideline ; Journal Article ; Practice Guideline
    ZDB-ID 1085366-2
    ISSN 1432-1084 ; 0938-7994 ; 1613-3749
    ISSN (online) 1432-1084
    ISSN 0938-7994 ; 1613-3749
    DOI 10.1007/s00330-004-2583-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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