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Start Over Author "Bellin M" Journal european radiology
11 results on '"Bellin M"'

10. Contrast medium extravasation injury: guidelines for prevention and management.

Author

Bellin, Marie-France, Jakobsen, Jarl Å, Tomassin, Isabelle, Thomsen, Henrik S., Morcos, Sameh K., Jakobsen, Jarl A, Thomsen, H S, Morcos, S K, Almén, T, Aspelin, P, Bellin, M F, Clauss, W, Flaten, H, Grenier, N, Ideé, J-M, Jakobsen, J A, Krestin, G P, Stacul, F, Webb, J A W, and Contrast Media Safety Committee Of The European Society Of Urogenital Radiology

Subjects
RADIOGRAPHY equipment, MEDICAL imaging systems, MEDICAL equipment, ISCHEMIA, DIAGNOSTIC imaging, RADIOLOGY, EXTRAVASATION
Abstract

Extravasation of contrast material is a well-recognized complication of contrast-enhanced imaging studies. The management of this complication is contentious; therefore, the Contrast Media Safety Committee of The European Society of Urogenital Radiology decided to review the literature and issue guidelines. A comprehensive literature search was carried out. The resulting report was discussed at the 8th European Symposium on Urogenital Radiology in Genoa, Italy. Automated power injection may result in extravasation of large volumes and may or can lead to severe tissue damage. Infants, young children and unconscious and debilitated patients are particularly at risk of extravasation during contrast media injection. Fortunately, most extravasations result in minimal swelling or erythema, with no long-term sequelae; however, severe skin necrosis and ulceration may occur. Large volumes of high osmolar contrast media are known to induce significant tissue damage. Compartment syndrome may be seen associated with extravasation of large volumes. Conservative management is often adequate, but in serious cases the advice of a plastic surgeon is recommended. Based on the review simple guidelines for prophylaxis and management of contrast medium extravasation injuries are proposed. [ABSTRACT FROM AUTHOR]

Published
2002
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11. Nephrogenic systemic fibrosis and gadolinium-based contrast media: updated ESUR Contrast Medium Safety Committee guidelines

Author

Henrik S, Thomsen, Sameh K, Morcos, Torsten, Almén, Marie-France, Bellin, Michele, Bertolotto, Georg, Bongartz, Olivier, Clement, Peter, Leander, Gertraud, Heinz-Peer, Peter, Reimer, Fulvio, Stacul, Aart, van der Molen, Judith A W, Webb, A, Spinazzi, Thomsen, H. S., Morcos, S. K., Almen, T., Bellin, M. F., Bertolotto, Michele, Bongartz, G., Clement, O., Leander, P., Heinz Peer, G., Reimer, P., Stacul, F., van der Molen, A., and Webb, J. A.

Subjects
Adult, Male, medicine.medical_specialty, Gadolinium, chemistry.chemical_element, Contrast Media, Risk Assessment, Nephrogenic Fibrosing Dermopathy, medicine, Contrastmedia Gadolinium, Humans, Radiology, Nuclear Medicine and imaging, Renal insufficiency, Child, Societies, Medical, Aged, medicine.diagnostic_test, Dose-Response Relationship, Drug, business.industry, Incidence, Age Factors, Infant, Newborn, Interventional radiology, Nephrogenic systemic fibrosi, General Medicine, medicine.disease, Europe, Radiographic Image Enhancement, Contrast medium, Nephrogenic systemic fibrosis, chemistry, Practice Guidelines as Topic, Female, Radiology, Patient Safety, business
Abstract

PURPOSE: To update the guidelines of the Contrast Media Safety Committee (CMSC) of the European Society of Urogenital Radiology (ESUR) on nephrogenic systemic fibrosis and gadolinium-based contrast media. AREAS COVERED: Topics reviewed include the history, clinical features and prevalence of nephrogenic systemic fibrosis and the current understanding of its pathophysiology. The risk factors for NSF are discussed and prophylactic measures are recommended. The stability of the different gadolinium-based contrast media and the potential long-term effects of gadolinium in the body have also been reviewed. KEY POINTS: • Clinical features, risk factors and prevention of nephrogenic systemic fibrosis are reviewed • Patients with GFR below 30 ml/min/1.73 m ( 2 ) have increased risk of developing NSF • Low stability gadolinium contrast media show the strongest association with NSF • Following guidelines regarding gadolinium contrast agents minimises the risk of NSF • Potential long-term harm from gadolinium accumulation in the body is discussed.

Published
2012

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