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Practice Guideline
. 2022 May;32(5):3056-3066.
doi: 10.1007/s00330-021-08433-4. Epub 2022 Feb 17.

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

Affiliations
Practice Guideline

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

Giles Roditi et al. Eur Radiol. 2022 May.

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.

Keywords: Contrast media; Extravasation of diagnostic and therapeutic materials; Prevention and treatments; Risk factors.

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Conflict of interest statement

The authors of this manuscript declare relationships with the following companies:

Giles Roditi: none.

Nadir Khan: none.

Aart J. van der Molen: Bayer Healthcare.

Marie-France Bellin: none.

Michele Bertolotto: none.

Torkel Brismar: none.

Jean-Michel Correas: Bracco, Guerbet.

Ilona A. Dekkers: none.

Remy W.F. Geenen: none.

Gertraud Heinz-Peer: none.

Andreas H. Mahnken: none.

Carlo C. Quattrocchi: none.

Alexander Radbruch: Bracco, Guerbet, Bayer, GE.

Peter Reimer: none.

Laura Romanini: none.

Fulvio Stacul: none.

Henrik S. Thomsen: pending.

Olivier Clément: Bracco, Guerbet, Bayer Healthcare.

M.F.B., T.B. and F.S. are members of the European Radiology Editorial Board. They have not taken part in the review or selection process of this article.

Figures

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Search and selection procedures

References

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