Revised Swedish guidelines on intravenous iodine contrast medium-induced acute kidney injury 2022: A summaryShow others and affiliations
2023 (English)In: Acta Radiologica, ISSN 0284-1851, E-ISSN 1600-0455, Vol. 64, no 5, p. 1859-1864Article, review/survey (Refereed) Published
Abstract [en]
The Swedish Society of Uroradiology has revised their computed tomography (CT) guidelines regarding iodine contrast media-induced acute kidney injury (CI-AKI). They are more cautious compared to the European Society of Urogenital Radiology and the American College of Radiology since the actual risk of CI-AKI remains uncertain in patients with moderate to severe kidney damage due to a lack of prospective controlled studies and mainly based on retrospective propensity score-matched studies with low-grade evidence. Another source of uncertainty is the imprecision of glomerular filtration rate (GFR) estimating equations. However, randomized hydration studies indictae an upper limit risk of CI-AKI of about 5% for outpatients with a GFR in the range of 30-44 or 45-59 mL/min/1.73m2 combined with multiple risk factors. Apart from GFR limits, the guideline also includes limits for systemic contrast medium exposure expressed in gram-iodine/GFR ratio.
Place, publisher, year, edition, pages
Nordic Society of Medical Radiology , 2023. Vol. 64, no 5, p. 1859-1864
Keywords [en]
Acute kidney injury, contrast media, glomerular filtration rate, spiral computed, tomography
National Category
Radiology, Nuclear Medicine and Medical Imaging
Identifiers
URN: urn:nbn:se:oru:diva-104079DOI: 10.1177/02841851231151511ISI: 000928552400001PubMedID: 36749001Scopus ID: 2-s2.0-85147702791OAI: oai:DiVA.org:oru-104079DiVA, id: diva2:1735227
2023-02-082023-02-082023-05-19Bibliographically approved