Recognition and management of contrast media extravasation

Australasian Radiology

Volumn 50, Issue 6, 2006, Pages 549-552

  Sum, W ^a   Ridley, L J ^a  

^a ANZAC Research Institute   (Australia)

Author keywords

Complication; Contrast agent; Extravasation; Management; Recognition

Indexed keywords

CONTRAST MEDIUM;

BLISTER; BURNING SENSATION; CLINICAL FEATURE; COMPARTMENT SYNDROME; CONTRAST MEDIUM EXTRAVASATION; DIAGNOSTIC IMAGING; DRUG ERUPTION; DRUG HYPERSENSITIVITY; GANGRENE; HUMAN; INJECTION SITE EDEMA; INJECTION SITE ERYTHEMA; LEG PHLEBOGRAPHY; PAIN; PRIORITY JOURNAL; PRURITUS; REVIEW; RHINITIS; RISK FACTOR; SKIN INJURY; SKIN ULCER; URTICARIA;

ADVERSE DRUG REACTION REPORTING SYSTEMS; EXTRAVASATION OF DIAGNOSTIC AND THERAPEUTIC MATERIALS; HUMANS; NEW SOUTH WALES; PROSPECTIVE STUDIES; RISK FACTORS;

EID: 33751006423     PISSN: 00048461     EISSN: 14401673     Source Type: Journal    
DOI: 10.1111/j.1440-1673.2006.01626.x     Document Type: Review

References (16)

1. Cohan RH, Ellis JH, Garner WL. Extravasation of radiographic contrast material: recognition, prevention and treatment. Radiology 1996; 200: 593-604.
2. Bellin MF, Jakobsen JA, Tomassin I, Thomsen HS, Morcos SK. Contrast medium extravasation injury: guidelines for prevention and management. Eur Radiol 2002; 12: 2807-12.
3. Birnbaum BA, Nelson RC, Chezmar JL, Glick SN. Extravasation detection accessory: clinical evaluation in 500 patients. Radiology 1999; 212: 431-8.
4. Lewis GBH, Heckler JF. Radiological examination of failure of intravenous infusions. Br J Surg 1991; 78: 500-01.
5. Gothlin J. The comparative frequency of extravasal injection at phlebography with steel and plastic cannulas. Clin Radiol 1972; 23: 183-4.
6. Jacobs JE, Birnbaum BA, Langlotz CP. Contrast media reactions and extravasation: relationship to intravenous injection rates. Radiology 1998; 209: 411-16.
7. Cohan RH, Leder RA, Bolick D et al. Extravascular extravasation of radiographic contrast media: effects of conventional and low-osmolar contrast agents in the rat thigh. Invest Radiol 1990; 25: 504-10.
8. Nelson RC, Anderson FA, Birnbaum BA, Chezmar JL, Glick JN. Contrast media extravasation during dynamic CT: detection with an extravasation detection accessory. Radiology 1998; 209: 837-43.
9. Ayre-Smith G. Tissue necrosis following extravasation of contrast media. J Can Assoc Radiol 1982; 33: 104.
10. Martin PH, Carver N, Petros AJ. Use of liposuction and saline washout for the treatment of extensive subcutaneous extravasation of corrosive drugs. Br J Anaesth 1994; 72: 702-4.
11. Sanelli PC, Deshmukh M, Ougorets I, Caiati R, Heier LA. Safety and feasibility of using a central venous catheter for rapid contrast injection rates. AJR 2004; 183: 1829-34.
12. Yucha CB, Hastings-Tolsma M, Szeverenyi M. Effect of elevation on intravenous extravasations. J Intraven Nurs 1994; 17: 231-4.
13. Elam EA, Dorr RT, Lagel KE, Pond GD. Cutaneous ulceration due to contrast extravasation: experimental assessment of injury and potential antidotes. Invest Radiol 1991; 26: 13-16.
14. Heckler FR. Current thoughts on extravasation injuries. Clin Plast Surg 1989; 16: 557-63.
15. Cochran ST, Bomyea K, Kahn M. Treatment of iodinated contrast material extravasation with hyaluronidase. Acad Radiol 2002; 9 (Suppl. 2): S544-6.
16. Rospond RM, Engel LM. Dimethyl sulfoxide for treating anthracycline extravasation. Clin Pharm 1993; 12: 560-1.