Waiting times between examinations with intravascularly administered contrast media : a review of contrast media pharmacokinetics and updated ESUR Contrast Media Safety Committee guidelines

© 2023. The Author(s)..

The pharmacokinetics of contrast media (CM) will determine how long safe waiting intervals between successive CT or MRI examinations should be. The Contrast Media Safety Committee has reviewed the data on pharmacokinetics of contrast media to suggest safe waiting intervals between successive contrast-enhanced imaging studies in relation to the renal function of the patient. CLINICAL RELEVANCE STATEMENT: Consider a waiting time between elective contrast-enhanced CT and (coronary) angiography with successive iodine-based contrast media administrations in patients with normal renal function (eGFR > 60 mL/min/1.73 m2) of optimally 12 h (near complete clearance of the previously administered iodine-based contrast media) and minimally 4 h (if clinical indication requires rapid follow-up). KEY POINTS: • Pharmacokinetics of contrast media will guide safe waiting times between successive administrations. • Safe waiting times increase with increasing renal insufficiency. • Iodine-based contrast media influence MRI signal intensities and gadolinium-based contrast agents influence CT attenuation.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:34

Enthalten in:

European radiology - 34(2024), 4 vom: 29. Apr., Seite 2512-2523

Sprache:

Englisch

Beteiligte Personen:

van der Molen, Aart J [VerfasserIn]
Dekkers, Ilona A [VerfasserIn]
Geenen, Remy W F [VerfasserIn]
Bellin, Marie-France [VerfasserIn]
Bertolotto, Michele [VerfasserIn]
Brismar, Torkel B [VerfasserIn]
Correas, Jean-Michel [VerfasserIn]
Heinz-Peer, Gertraud [VerfasserIn]
Mahnken, Andreas H [VerfasserIn]
Quattrocchi, Carlo C [VerfasserIn]
Radbruch, Alexander [VerfasserIn]
Reimer, Peter [VerfasserIn]
Roditi, Giles [VerfasserIn]
Romanini, Laura [VerfasserIn]
Sebastià, Carmen [VerfasserIn]
Stacul, Fulvio [VerfasserIn]
Clement, Olivier [VerfasserIn]

Links:

Volltext

Themen:

9679TC07X4
Contrast Media
Contrast media
Hepatic insufficiency
Iodine
Journal Article
Pharmacokinetics
Practice guideline
Renal insufficiency
Review

Anmerkungen:

Date Completed 22.03.2024

Date Revised 09.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00330-023-10085-5

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363169652