关键词: Allergy Complications Contrast Extravasation Fibrosis Gadolinium Induced Intravenous Metformin Nephrogenic Nephropathy Systemic

Mesh : Contrast Media / administration & dosage adverse effects Extravasation of Diagnostic and Therapeutic Materials / etiology Fibrosis / chemically induced Gadolinium / administration & dosage adverse effects Humans Hypersensitivity, Immediate / chemically induced Hypoglycemic Agents / adverse effects Injections, Intravenous Iodine Radioisotopes / administration & dosage adverse effects Kidney / pathology Kidney Diseases / chemically induced Metformin / adverse effects Radioisotopes / administration & dosage adverse effects

来  源:   DOI:10.1016/j.amjmed.2015.02.018   PDF(Sci-hub)

Abstract:
Intravenous contrast is commonly used in noninvasive imaging procedures such as magnetic resonance imaging and computed tomography and can evaluate blood vessels and better characterize soft-tissue lesions. Although the incidence of adverse events after administration of contrast is low, it is important that clinicians and radiologists minimize risks and respond quickly and effectively when reactions occur. We will discuss a range of adverse events to iodinated and gadolinium-based contrast agents, including allergic-like reactions, nephrotoxicity, extravasation, and nephrogenic systemic fibrosis. We will review risk stratification for patients, as well as premedication and treatment of adverse events.
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