Departamento de Radiología y Nefrología, Hospital Clínic de Barcelona, Barcelona, España.
Departamento de Radiología y Nefrología, Hospital Clínic de Barcelona, Barcelona, España.
Radiologia (Engl Ed). 2020 Jul-Aug;62(4):292-297. doi: 10.1016/j.rx.2019.12.005. Epub 2020 Feb 3.
The European Society of Urogenital Radiology (ESUR) updated its guidelines for prophylaxis against postcontrast acute kidney injury (PC-AKI) in 2018 (ESUR 10.0). These guidelines drastically reduce the indications for prophylaxis against PC-AKI after iodine-based contrast administration, lowering the cutoff for administering prophylaxis to glomerular filtration rates <30ml/min/1.73m and eliminating most of the prior risk factors. Moreover, in cases where prophylaxis is considered necessary, the periods of hydration are shorter than in the previous version. These guidelines have been approved by most radiological societies, although they have also been criticized for excessive relaxation regarding risk factors, especially by the nephrological community. In this article, we critically review the changes to the guidelines.
欧洲泌尿生殖放射学会（ESUR）于 2018 年更新了对比剂后急性肾损伤（PC-AKI）预防指南（ESUR 10.0）。这些指南大大减少了碘基造影剂给药后预防 PC-AKI 的适应证，将预防给药的截断值降低至肾小球滤过率<30ml/min/1.73m，并消除了大多数先前的危险因素。此外，在认为需要预防的情况下，水化的时间比上一版本更短。这些指南已得到大多数放射学会的认可，但也因对危险因素的过度放宽而受到批评，尤其是肾病学界。在本文中，我们批判性地审查了指南的变化。
