Contrast media extravasation during dynamic CT: Detection with an extravasation detection accessory

Radiology

Volumn 209, Issue 3, 1998, Pages 837-843

  Nelson, Rendon C ^a   Anderson Jr , Frederick A ^b   Birnbaum, Bernard A ^c   Chezmar, Judith L ^d   Glick, Seth N ^e  

^a DUKE UNIVERSITY MEDICAL CENTER   (United States)

^b UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL   (United States)

^c HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA   (United States)

^d EMORY UNIVERSITY HOSPITAL   (United States)

^e HAHNEMANN UNIVERSITY HOSPITAL   (United States)

Author keywords

Computed tomography (CT), contrast media; Contrast media, complications; Interventional procedures, complications

Indexed keywords

ARTICLE; CANNULATION; COMPUTER ASSISTED TOMOGRAPHY; CONTRAST ENHANCEMENT; EXTRAVASATION; HUMAN; INJECTION SITE; NONHUMAN; PRIORITY JOURNAL; SKIN CONDUCTANCE; TECHNIQUE; TISSUE INJURY;

EID: 0031648512     PISSN: 00338419     EISSN: None     Source Type: Journal    
DOI: 10.1148/radiology.209.3.9844684     Document Type: Article

References (34)

1. Miles SG, Rasmussen JF, Litwiller T. Safe use of an intravenous power injector for CT: experience and protocol. Radiology 1990; 176:69-70.
2. Oliver JH III, Baron RL. Helical biphasic contrast-enhanced CT of the liver: technique, indications, interpretation, and pit-falls. Radiology 1996; 201:1-14.
3. Baron RL, Oliver JH III, Dodd GD III, Nalesnik M, Holbert BL, Carr B. Hepatocellular carcinoma: evaluation with biphasic, contrast-enhanced, helical CT. Radiology 1996; 199:505-511.
4. Hollett MD, Jeffrey RBJr, Nino-Murcia M, et al. Dual-phase helical CT of the liver: value of arterial phase scans in the detection of small (≤ 1.5 cm) malignant hepatic neoplasms. AJR 1995; 164:879-884.
5. van Leeuwen MS, Noordzij J, Feldberg MAM, Hennipman AH, Doornewaard H. Focal liver lesions: characterization with triphasic spiral CT. Radiology 1996; 201: 327-336.
6. Lu DSK, Vedantham S, Krasny RM, Kadell B, Berger WL, Reber HA. Two-phase helical CT for pancreatic versus hepatic phase enhancement of tumor, pancreas, and vascular structures. Radiology 1996; 199: 697-701.
7. Cohan RH, Ellis JH, Garner WL. Extravasation of radiologic contrast material: recognition, prevention, and treatment. Radiology 1996; 200:593-604.
8. Cohan RH, Dunnick NR, Leder RA, Baker ME. Extravasation of nonionic radiologic contrast media: efficacy of conservative treatment. Radiology 1990; 174:65-67.
9. Sistrom CL, Gay SB, Peffley L. Extravasation of iopamidol and iohexol during contrast-enhanced CT: report of 28 cases. Radiology 1991; 180:707-710.
10. Loth TS, Jones DEC. Extravasations of radiographic contrast material in the upper extremity. J Hand Surg [Am] 1988; 13:395-398.
11. Pond GD, Dorr RT, McAleese KA. Skin ulceration from extravasation of low-osmolality contrast medium: a complication of automation. AJR 1992; 158:915-916.
12. Young RA. Injury due to extravasation of nonionic contrast material (letter). AJR 1994; 162:1499.
13. Ayre-Smith G. Tissue necrosis following extravasation of contrast media (letter). J Can Assoc Radiol 1982; 33:104.
14. Burd DAR, Santis G, Milward TM. Severe extravasation injury: an avoidable iatrogenic disaster. BMJ 1985; 290:1579-1580.
15. Burris JF, Fairchild PG. Iatrogenic hand injuries in outpatients. South Med J 1986; 79:1515-1516.
16. Loth TS, Eversmann WW. Treatment methods for extravasation of chemotherapeutic agents: a comparative study. J Hand Surg [Am] 1986; 11:388-396.
17. Memolo M, Dyer R, Zagoria RJ. Extravasation injury with nonionic contrast material (letter). AJR 1993; 160:203-204.
18. Cohan RH, Leder RA, Bolick D, et al. Extravascular extravasation of radiographic contrast media: effects of conventional and low-osmolar agents in the rat thigh. Invest Radiol 1990; 25:504-510.
19. Kim SH, Park JH, Kim YI, Kim CW, Han MC. Experimental tissue damage after subcutaneous injection of water soluble contrast media. Invest Radiol 1990; 25: 678-685.
20. McAlister WH, Kissane JM. Comparison of soft tissue effects of conventional ionic, low osmolar ionic and nonionic iodine containing contrast material in experimental animals. Pediatr Radiol 1990; 20: 170-174.
21. Elam EA, Dorr RT, Lagel KE, Pond GD. Cutaneous ulceration due to contrast extravasations: experimental assessment of injury and potential antidotes. Invest Radiol 1991; 26:13-16.
22. Anderson FA, Jr. Impedance plethysmography in the diagnosis of arterial and venous disease. Ann Biomed Eng 1984; 12:79-102.
23. Loth TS, Jones DEC. Extravasation of radiographic contrast material in the upper extremity. J Hand Surg [Am] 1988; 13:395-398.
24. Cohan RH, Bullard MA, Ellis JH, et al. Local reactions after injection of iodinated contrast material: detection, management, and outcome. Acad Radiol 1997; 4:711-718.
25. Leung PC, Cheng CY. Extensive local necrosis following the intravenous administration of x-ray contrast medium in the upper extremity. Br J Radiol 1980; 53:361-364.
26. Upton J, Mulliken JB, Murray JE. Major intravenous extravasation injuries. Am J Surg 1979; 137:497-506.
27. Spigos DG, Thane TT, Capek V. Skin necrosis following extravasation during peripheral phlebography. Radiology 1977; 123: 605-606.
28. Gothlin J. The comparative frequency of extravasal injection at phlebography with steel and plastic cannulas. Clin Radiol 1972; 23:183-184.
29. Stanley MD, Meister E, Fuschuber K. Infiltration during intravenous therapy in neonates: comparison of Teflon and Vialon catheters. South Med J 1992; 85:883-886.
30. Gault DT. Extravasation injuries. Br J Plast Surg 1993; 46:91-96.
31. Lewis GBH, Heckler JF. Radiological examination of failure of intravenous infusions. Br J Surg 1991; 78:500-501.
32. Panto PN, Davies P. Delayed reactions to urographic contrast media. Br J Radiol 1986; 59:41-44.
33. Yoshikawa H. Late adverse reactions to nonionic contrast media. Radiology 1992; 183:737-740.
34. Berge T, Bergovist D, Efshing HO, Hallbrook T. Local complications of ascending phlebography. Clin Radiol 1978; 29:691-696.