Ultrasound Contrast Agents: Updated Data on Safety Profile

被引:6
作者
Aggeli, C. [1 ]
Felekos, I. [1 ]
Siasos, G. [1 ]
Tousoulis, D. [1 ]
Stefanadis, C. [1 ]
机构
[1] Univ Athens, Sch Med, Dept Cardiol 1, Hippokrat Hosp, GR-11527 Athens, Greece
关键词
Contrast echocardiography; safety; PREMATURE VENTRICULAR CONTRACTIONS; ACTIVATION-RELATED PSEUDOALLERGY; STRESS ECHOCARDIOGRAPHY; CLINICAL-APPLICATIONS; MYOCARDIAL-PERFUSION; SYSTOLIC PRESSURE; RECOMMENDATIONS; OPTISON; DRUG;
D O I
10.2174/138161212800099964
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Contrast echocardiography represents a major technological advancement in the constantly evolving field of cardiovascular imaging. Over the last twenty years numerous studies have been published, illustrating the incremental value of contrast implementation into a variety of clinical scenarios. However, serious concerns have been raised about contrast safety profile, mainly based on post-marketing observational data and several animal studies. The latter have investigated contrast bio effects under experimental conditions that are not consistent with daily clinical practice. On the other hand, numerous clinical trials with large registries have proven otherwise. Not only contrast agents are efficient, but they also demonstrate a remarkable safety profile. So the question is: should we fear contrast utilization or should we consider them as an adjunctive and indispensable clinical tool for daily bedside practice?
引用
收藏
页码:2253 / 2258
页数:6
相关论文
共 60 条
[1]   Safety of Contrast Agent Use During Stress Echocardiography in Patients With Elevated Right Ventricular Systolic Pressure A Cohort Study [J].
Abdelmoneim, Sahar S. ;
Bernier, Mathieu ;
Scott, Christopher G. ;
Dhoble, Abhijeet ;
Ness, Sue Ann C. ;
Hagen, Mary E. ;
Moir, Stuart ;
McCully, Robert B. ;
Pellikka, Patricia A. ;
Mulvagh, Sharon L. .
CIRCULATION-CARDIOVASCULAR IMAGING, 2010, 3 (03) :240-248
[2]   Safety of Contrast Agent Use During Stress Echocardiography A 4-Year Experience From a Single-Center Cohort Study of 26,774 Patients [J].
Abdelmoneim, Sahar S. ;
Bernier, Mathieu ;
Scott, Christopher G. ;
Dhoble, Abhijeet ;
Ness, Sue Ann C. ;
Hagen, Mary E. ;
Moir, Stuart ;
McCully, Robert B. ;
Pellikka, Patricia A. ;
Mulvagh, Sharon L. .
JACC-CARDIOVASCULAR IMAGING, 2009, 2 (09) :1048-1056
[3]   Safety of myocardial flash-contrast echocardiography in combination with dobutamine stress testing for the detection of ischaemia in 5250 studies [J].
Aggeli, C. ;
Giannopoulos, G. ;
Roussakis, G. ;
Christoforatou, E. ;
Marinos, G. ;
Toli, C. ;
Pitsavos, C. ;
Stefanadis, C. .
HEART, 2008, 94 (12) :1571-1577
[4]   Potential clinical applications of myocardial contrast echocardiography in evaluating myocardial perfusion in coronary artery disease [J].
Aggeli, C ;
Bonou, M ;
Stefanadis, C .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2005, 104 (01) :1-9
[5]   Quantitative parameters of myocardial perfusion with contrast echocardiography in human beings: Influence of triggering mode [J].
Aggeli, CJ ;
Shimoni, S ;
Nagueh, SF ;
Zoghbi, WA .
JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, 2002, 15 (12) :1432-1439
[6]  
Aggeli Constadina, 2006, Hellenic J Cardiol, V47, P1
[7]   Adverse Bioeffects of Ultrasound Contrast Agents Used in Echocardiography: True Safety Issue or "Much Ado About Nothing"? [J].
Aggeli, Constadina ;
Giannopoulos, Georgios ;
Lampropoulos, Konstantinos ;
Pitsavos, Christos ;
Stefanadis, Christodoulos .
CURRENT VASCULAR PHARMACOLOGY, 2009, 7 (03) :338-346
[8]  
[Anonymous], European Public Assessment Report (EPAR): Zytiga (Abiraterone Acetate)
[9]   Destruction of contrast microbubbles by ultrasound - Effects on myocardial function, coronary perfusion pressure, and microvascular integrity [J].
Ay, T ;
Havaux, X ;
Van Camp, G ;
Campanelli, B ;
Gisellu, G ;
Pasquet, A ;
Denef, JF ;
Melin, JA ;
Vanoverschelde, JLJ .
CIRCULATION, 2001, 104 (04) :461-466
[10]   WFUMB symposium on safety of ultrasound in medicine: Conclusions and recommendations on biological effects and safety of ultrasound contrast agents, 2006 [J].
Barnett, Stanley B. ;
Duck, Francis ;
Ziskin, Marvin .
ULTRASOUND IN MEDICINE AND BIOLOGY, 2007, 33 (02) :233-234