THROMBOSIS AFTER PHLEBOGRAPHY - COMPARISON OF 2 CONTRAST-MEDIA

被引:56
作者
ALBRECHTSSON, U
OLSSON, CG
机构
[1] Department of Diagnostic Radiology, University Hospital, Lund
[2] Clinical Physiology, University Hospital, Lund
来源
CARDIOVASCULAR RADIOLOGY | 1979年 / 2卷 / 01期
关键词
Metrizamide; Phlebography; Postphlebographic thrombosis;
D O I
10.1007/BF02552011
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In two studies 267 consecutive patients with suspected leg vein thrombosis were examined by an125I-fibrinogen uptake test (125I-FUT) and by phlebography. The ionic meglumine calcium metrizoate (Isopaque Cerebral) was used as the phlebographic contrast medium in 161 patients, and the non-ionic metrizamide (Amipaque) was used in 106. In these two groups 47 and 41 patients, respectively, had normal phlebograms as well as an initially normal125I-FUT. After phlebography 29 (62%) of the patients who had received meglumine metrizoate had a significant rise in fibrinogen uptake, while such a rise was not found in patients examined with metrizamide. Repeat phlebography showed fresh deep-vein thrombosis in seven of the nine patients with increased uptake, indicating a complication rate of 48%. Consequently, we now use metrizamide in leg phlebography; because of its expense a radioisotope test is employed as a screening procedure. © 1979 Springer-Verlag New York Inc.
引用
收藏
页码:9 / 18
页数:10
相关论文
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