contrast agent

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Classification

1st generation agents:

2nd generation agents: (i.e. iohexol)

3rd generation agent: (iodixanol)

Indications

Contraindications

(cautions)

* contrast-enhanced CTs can be performed using the standard contrast medium without premedication in patients with seafood allergies[10]

Adverse effects

* image

Management

patients with seafood allergy (shellfish allergy) should receive standard contrast agent[10]

More general terms

More specific terms

Additional terms

References

  1. Mayo Internal Medicine Board Review, 1998-99, Prakash UBS (ed) Lippincott-Raven, Philadelphia, 1998, pg 31, 598, 625
  2. Medical Knowledge Self Assessment Program (MKSAP) 11, 15, American College of Physicians, Philadelphia 1998, 2009
  3. 3.0 3.1 3.2 Veterans Administration, Dept. of Radiology
  4. 4.0 4.1 Rhee CM et al. Association between iodinated contrast media exposure and incident hyperthyroidism and hypothyroidism. Arch Intern Med 2012 Jan 23; 172:153. PMID: https://www.ncbi.nlm.nih.gov/pubmed/22271121
  5. 5.0 5.1 Mervak BM et al. Rates of breakthrough reactions in inpatients at high risk receiving premedication before contrast-enhanced CT. AJR Am J Roentgenol 2015 Jul; 205:77 PMID: https://www.ncbi.nlm.nih.gov/pubmed/26102383
  6. 6.0 6.1 Hinson JS, Ehmann MR, Fine DM et al. Risk of acute kidney injury after intravenous contrast media administration. Ann Emerg Med 2017 Jan 19 PMID: https://www.ncbi.nlm.nih.gov/pubmed/28131489
  7. 7.0 7.1 Aycock RD et al. Acute kidney injury after computed tomography: A meta-analysis. Ann Emerg Med 2017 Aug 12 PMID: https://www.ncbi.nlm.nih.gov/pubmed/28811122
  8. American College of Radiology Manual on Contrast Media. v 10.3 https://www.acr.org/-/media/ACR/Files/Clinical-Resources/Contrast_Media.pdf
  9. 9.0 9.1 Davenport MS, Perazella MA, Yee J, et al. Use of intravenous iodinated contrast media in patients with kidney disease: Consensus statements from the American College of Radiology and the National Kidney Foundation. Radiology 2020 Mar; 294:660. PMID: https://www.ncbi.nlm.nih.gov/pubmed/31961246 https://pubs.rsna.org/doi/10.1148/radiol.2019192094
  10. 10.0 10.1 10.2 10.3 NEJM Knowledge+ Question of the Week. Nov. 29, 2022 https://knowledgeplus.nejm.org/question-of-week/1239/
  11. 11.0 11.1 11.2 NEJM Knowledge+ Endocrinology
  12. 12.0 12.1 Corbella-Bagot L, Luque-Luna M Images in Dermatology Extravasation of Iodine Contrast JAMA Dermatol. 2023;159(11):1268-1269. PMID: https://www.ncbi.nlm.nih.gov/pubmed/37792372 https://jamanetwork.com/journals/jamadermatology/fullarticle/2810089