nefrНефрологияNephrology (Saint-Petersburg)1561-62742541-9439Pavlov First Saint-Petersburg State Medical University10.24884/1561-6274-2019-23-3-10-20nefr-1689Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESПостконтрастное острое повреждение почек. Обновленные рекомендации комитета по безопасности контрастных средств европейского общества урогенитальной радиологии (ESUR) 2018. Часть 1Post-Contrast acute kidney injury. Recommendations for updated of the European Society of Urogenital Radiology Contrast Medium Safety Committee guidelines (2018). Part 1https://orcid.org/0000-0002-7314-9063ДзгоеваФ. У.DzgoevaF. U.

Дзгоева Фатима Урузмаговна – профессор, кафедра внутренних болезней №5.

362040, Республика Северная Осетия–Алания, Владикавказ, ул. Пушкинская, д. 40, тел.: 8(918) 822-83-45

Fatima U. Dzgoeva - Prof. Department of Internal Medicine №5, MD, PhD, DMedSci.

362040, Republic of North Ossetia-Alania Vladikavkaz, Pushkinskaya st., 40, Phone: (8672)539742; 8(918)8228345

fdzgoeva@mail.ruРемизовО. В.RemizovO. V.

Ремизов Олег Валерьевич – профессор, кафедра лучевой диагностики с лучевой терапией и онкологией.

362040, Россия, Республика Северная Осетия–Алания, Владикавказ, ул. Пушкинская, д. 40., тел.: (8672) 530397

Oleg V. Remizov - MD, PhD, DMedSci, Prof.Department of Radiology with radiotherapy and oncology.

Phone: (8672)530397

oleg_remizov@mail.ruСеверо-Осетинская государственная медицинская академияРоссияNorth Ossetian State Medical AcademyRussian Federation2019220320192331020Copyright © Дзгоева Ф.У., Ремизов О.В., 20192019Дзгоева Ф.У., Ремизов О.В.Dzgoeva F.U., Remizov O.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.nephrolog.ru/jour/article/view/1689

Комитет по безопасности контрастных материалов (Contrast Media Safety Committee (CMSC) Европейского общества урогенитальной радиологии (European Society of Urogenital Radiology (ESUR) обновил свои руководящие принципы 2011 года по профилактике постконтрастного острого повреждения почек (ПК-ОПП). Рекомендации основаны на данных обзора литературы. Обновленные руководящие принципы будут представлены в двух частях. В части 1 обсуждаются уточнения терминологии (в частности, отличия ПК-ОПП и контраст индуцированной нефропатии), лучшие способы определения расчетной скорости клубочковой фильтрации (рСКФ). Уточнены факторы риска ПК-ОПП, в том числе при внутривенном и внутриартериальном путях введения контрастного средства. Ключевые положения обновленных рекомендаций: 1) ПК-ОПП является предпочтительным термином для характеристики ухудшения функции почек после введения контрастного средства; 2) ПК-ОПП имеет много причин развития; 3.риск развития ОПП при внутрисосудистом введении контрастного средства, завышен; 4.важными факторами риска для ПК-ОПП являются хроническая болезнь почек и обезвоживание.

The Contrast Media Safety Committee (CMSC) of the European Society of Urogenital Radiology (European Society of Urogenital Radiology (ESUR)) updated its 2011 guidelines for the prevention of post-contrast acute kidney injury (PC-AKI). The recommendations are based on literature review data. The updated guidelines will be presented in two parts: Part 1 are discussed clarification of terminology (in particular differences between PC-AKI and contrast-induced nephropathy), the best ways to estimate glomerular filtration rate (eGFR). There were refined risk factors of PC-AKI, including by intravenous and intra-arterial routes of administration of the contrast agent. The key points of the updated recommendations are: 1. PC-AKI is the preferred term to characterize the impairment of renal function after the administration of a contrast agent; 2. PC-AKI has many causes for development; 3.Risk of development of AKI with intravascular injection of a contrast agent, overestimated; 4. Important risk factors for PC-AKI are chronic kidney disease and dehydration.

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The authors declare that there are no conflicts of interest present.