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European Radiology

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01-09-2008 | Letter to the Editor

Iodine contrast media doses equal-attenuating with gadolinium chelates at CT-aortography may have less risk of contrast-induced nephropathy and no risk of nephrogenic systemic fibrosis in azotaemic patients!

Authors: Ulf Nyman, Barbara Elmståhl, Peter Leander, Torsten Almén

Published in: European Radiology | Issue 9/2008

Excerpt

Dear Editor: …

Esteban JM, Alonso A, Cervera V, Martinez V (2007) One-molar gadolinium chelate (gadobutrol) as a contrast agent for CT angiography of the thoracic and abdominal aorta. Eur Radiol 17:2394–2400PubMedCrossRef

Sam AD 2nd, Morasch MD, Collins J, Song G, Chen R, Pereles FS (2003) Safety of gadolinium contrast angiography in patients with chronic renal insufficiency. J Vasc Surg 38:313–318PubMedCrossRef

Elmståhl B, Nyman U, Leander P, Chai CM, Frennby B, Almén T (2004) Gadolinium contrast media are more nephrotoxic than a low osmolar iodine medium employing doses with equal X-ray attenuation in renal arteriography: an experimental study in pigs. Acad Radiol 11:1219–1228PubMedCrossRef

Elmståhl B (2006) Are gadolinium contrast media really less nephrotoxic than iodine agents in radiographic examinations? A comparison in relation to their ability to attenuate X-rays in a pig model. Lund University Faculty of Medicine Doctorial Dissertation Series 2006:9. http://luur.lub.lu.se/luur?func=downloadFile&fileOId=546104. Accessed February 16, 2006

Nyman U, Elmståhl B, Leander P, Nilsson M, Golman K, Almén T (2002) Are gadolinium-based contrast media really safer than iodinated media for digital subtraction angiography in patients with azotemia? Radiology 223:311–318, discussion 318–319PubMedCrossRef

Thomsen HS, Morcos SK (2003) Contrast media and the kidney: European Society of Urogenital Radiology (ESUR) guidelines. Br J Radiol 76:513–518PubMedCrossRef

Thomsen HS (2003) Guidelines for contrast media from the European Society of Urogenital Radiology. AJR Am J Roentgenol 181:1463–1471PubMed

Thomsen HS, Almen T, Morcos SK (2002) Gadolinium-containing contrast media for radiographic examinations: a position paper. Eur Radiol 12:2600–2605PubMed

Medicines and Healthcare Products Regulatory Agency, United Kingdom (2007) Nephrogenic systemic fibrosis (NSF) with gadolinium-containing magnetic resonance imaging (MRI) contrast agents. Update 26 June 2007. Public assessment report. Increased risk of nephrogenic fibrosing dermopathy/nephrogenic fibrosis and gadolinium MRI contrast agents. http://www.mhra.gov.uk/Safetyinformation/Safetywarningsalertsandrecalls/Safetywarningsandmessagesformedicines/CON2031543. Accessed February 16, 2008

Title: Iodine contrast media doses equal-attenuating with gadolinium chelates at CT-aortography may have less risk of contrast-induced nephropathy and no risk of nephrogenic systemic fibrosis in azotaemic patients!
Authors: Ulf Nyman
Barbara Elmståhl
Peter Leander
Torsten Almén
Publication date: 01-09-2008
Publisher: Springer-Verlag
Published in: European Radiology / Issue 9/2008
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-008-0964-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Iodine contrast media doses equal-attenuating with gadolinium chelates at CT-aortography may have less risk of contrast-induced nephropathy and no risk of nephrogenic systemic fibrosis in azotaemic patients!

Excerpt

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Excerpt

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