Intravenous contrast medium extravasation: systematic review and updated ESUR Contrast Media Safety Committee Guidelines

Giles Roditi; Nadir Khan; Aart J. van der Molen; Marie France Bellin; Michele Bertolotto; Torkel Brismar; Jean Michel Correas; Ilona A. Dekkers; Remy W.F. Geenen; Gertraud Heinz-Peer; Andreas H. Mahnken; Carlo C. Quattrocchi; Alexander Radbruch; Peter Reimer; Laura Romanini; Fulvio Stacul; Henrik S. Thomsen; Olivier Clément

doi:10.1007/s00330-021-08433-4

Intravenous contrast medium extravasation: systematic review and updated ESUR Contrast Media Safety Committee Guidelines

Giles Roditi, Nadir Khan, Aart J. van der Molen, Marie France Bellin, Michele Bertolotto, Torkel Brismar, Jean Michel Correas, Ilona A. Dekkers, Remy W.F. Geenen, Gertraud Heinz-Peer, Andreas H. Mahnken, Carlo C. Quattrocchi, Alexander Radbruch, Peter Reimer, Laura Romanini, Fulvio Stacul, Henrik S. Thomsen, Olivier Clément^*

^*Corresponding author for this work

Research output: Contribution to journal › Journal article › Research › peer-review

29 Citations (Scopus)

18 Downloads (Pure)

Abstract

Need for a review: Guidelines for management and prevention of contrast media extravasation have not been updated recently. In view of emerging research and changing working practices, this review aims to inform update on the current guidelines. Areas covered: In this paper, we review the literature pertaining to the pathophysiology, diagnosis, risk factors and treatments of contrast media extravasation. A suggested protocol and guidelines are recommended based upon the available literature. Key Points: • Risk of extravasation is dependent on scanning technique and patient risk factors. • Diagnosis is mostly clinical, and outcomes are mostly favourable. • Referral to surgery should be based on clinical severity rather than extravasated volume.

Original language	English
Journal	European Radiology
Volume	32
Issue number	5
Pages (from-to)	3056-3066
Number of pages	11
ISSN	0938-7994
DOIs	https://doi.org/10.1007/s00330-021-08433-4
Publication status	Published - 2022

Bibliographical note

Publisher Copyright:
© 2022, The Author(s).

Keywords

Contrast media
Extravasation of diagnostic and therapeutic materials
Prevention and treatments
Risk factors

Access to Document

10.1007/s00330-021-08433-4Licence: CC BY

FulltextFinal published version, 912 KBLicence: CC BY

Cite this

Roditi, G., Khan, N., van der Molen, A. J., Bellin, M. F., Bertolotto, M., Brismar, T., Correas, J. M., Dekkers, I. A., Geenen, R. W. F., Heinz-Peer, G., Mahnken, A. H., Quattrocchi, C. C., Radbruch, A., Reimer, P., Romanini, L., Stacul, F., Thomsen, H. S., & Clément, O. (2022). Intravenous contrast medium extravasation: systematic review and updated ESUR Contrast Media Safety Committee Guidelines. European Radiology, 32(5), 3056-3066. https://doi.org/10.1007/s00330-021-08433-4

Intravenous contrast medium extravasation : systematic review and updated ESUR Contrast Media Safety Committee Guidelines. / Roditi, Giles; Khan, Nadir; van der Molen, Aart J.; Bellin, Marie France; Bertolotto, Michele; Brismar, Torkel; Correas, Jean Michel; Dekkers, Ilona A.; Geenen, Remy W.F.; Heinz-Peer, Gertraud; Mahnken, Andreas H.; Quattrocchi, Carlo C.; Radbruch, Alexander; Reimer, Peter; Romanini, Laura; Stacul, Fulvio; Thomsen, Henrik S.; Clément, Olivier.

In: European Radiology, Vol. 32, No. 5, 2022, p. 3056-3066.

Research output: Contribution to journal › Journal article › Research › peer-review

Roditi, G, Khan, N, van der Molen, AJ, Bellin, MF, Bertolotto, M, Brismar, T, Correas, JM, Dekkers, IA, Geenen, RWF, Heinz-Peer, G, Mahnken, AH, Quattrocchi, CC, Radbruch, A, Reimer, P, Romanini, L, Stacul, F, Thomsen, HS & Clément, O 2022, 'Intravenous contrast medium extravasation: systematic review and updated ESUR Contrast Media Safety Committee Guidelines', European Radiology, vol. 32, no. 5, pp. 3056-3066. https://doi.org/10.1007/s00330-021-08433-4

Roditi, Giles ; Khan, Nadir ; van der Molen, Aart J. ; Bellin, Marie France ; Bertolotto, Michele ; Brismar, Torkel ; Correas, Jean Michel ; Dekkers, Ilona A. ; Geenen, Remy W.F. ; Heinz-Peer, Gertraud ; Mahnken, Andreas H. ; Quattrocchi, Carlo C. ; Radbruch, Alexander ; Reimer, Peter ; Romanini, Laura ; Stacul, Fulvio ; Thomsen, Henrik S. ; Clément, Olivier. / Intravenous contrast medium extravasation : systematic review and updated ESUR Contrast Media Safety Committee Guidelines. In: European Radiology. 2022 ; Vol. 32, No. 5. pp. 3056-3066.

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