Pulmonary angiography performed with iopamidol: Complications in 1,434 patients

被引:82
作者
Hudson, ER [1 ]
Smith, TP [1 ]
McDermott, VG [1 ]
Newman, GE [1 ]
Suhocki, PV [1 ]
Payne, CS [1 ]
Stackhouse, DJ [1 ]
机构
[1] DUKE UNIV,MED CTR,DEPT RADIOL,DURHAM,NC 27710
关键词
angiography; complications; contrast media; iopamidol;
D O I
10.1148/radiology.198.1.8539407
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
PURPOSE: To evaluate the safety of pulmonary angiography performed with iopamidol compared with pulmonary angiography performed with ionic contrast media. MATERIALS AND METHODS: The data in 1,434 patients who underwent pulmonary angiography with iopamidol 76% were retrospectively reviewed. Complications that occurred within 48 hours were identified with review of hospital charts and/or computer records. RESULTS: Pulmonary arterial hypertension was present in 402 patients and was severe in 99. Pulmonary embolus was diagnosed in 357 patients (24.9%). Major complications occurred in four patients (0.3%). Respiratory insufficiency occurred in two of these patients. Catheterization was not completed in two patients due to catheter-induced cardiac arrhythmia that was refractory to treatment. No procedure-related deaths occurred. During the periprocedural period, eight patients required intubation and 10 patients died; all patients previously were critically ill. CONCLUSION: Pulmonary angiography is a-safe procedure, and the margin of safety is enhanced by the use of iopamidol.
引用
收藏
页码:61 / 65
页数:5
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