Selection of a contrast agent in the cardiac catheterization laboratory

The American Journal of Cardiology
J A Brinker

Abstract

The evolution of contrast material for intravascular use has been directed toward the development of better-tolerated agents. Currently, a variety of such "dyes" are available for coronary angiography and left ventriculography. Considerable animal and human investigation suggests that significant differences exist between the families of contrast agents that relate to patient tolerance. The newer low osmolality agents (especially the nonionic agents) produce less perturbation of the homeostatic state, which is clinically manifested by a lessened incidence of side effects, including those of a hemodynamic and electrophysiologic nature. While controversy continues over the cost/benefit ratio of the low osmolality contrast agents compared to traditional high osmolality agents, the former are rapidly becoming the community standard for diagnostic and especially therapeutic cardiologic procedures. Accepting the advantages of the low osmolality contrast agents, differences between the ionic dimers and the nonionic agents have been examined. Both experimental and clinical data suggest superiority of the nonionic agents. Although controversy still surrounds the issue of thromboembolism with the nonionic agents, accumulating evidence fa...Continue Reading

References

Mar 1, 1976·Cardiovascular Research·C W WhiteF M Abboud
Apr 1, 1979·The Journal of Allergy and Clinical Immunology·P Gorevic, A P Kaplan
May 1, 1990·Journal of the American College of Cardiology·H S RosmanS Goldstein
Mar 1, 1989·Cardiovascular and Interventional Radiology·K LevorstadT Aakhus
Sep 1, 1989·Radiology·M A Bettmann
Feb 1, 1989·AJR. American Journal of Roentgenology·P RasuliD I Hammond
Feb 15, 1989·The American Journal of Cardiology·K G Lehmann, Y C Chen
Mar 1, 1989·Catheterization and Cardiovascular Diagnosis·M H HwangP J Scanlon
Feb 1, 1988·Radiology·M L KinnisonG F Anderson
Sep 1, 1988·Investigative Radiology·R W Katzberg
Nov 1, 1988·Investigative Radiology·P Dawson
Oct 1, 1988·Radiology·R G Evens
Sep 1, 1988·Investigative Radiology·H W Fischer, R F Spataro
Sep 1, 1988·Investigative Radiology·S M EatonF J Yost
Sep 1, 1988·Investigative Radiology·G Benness
Sep 1, 1988·Investigative Radiology·R G Grainger
Aug 1, 1988·Nihon Ika Daigaku zasshi·N Katayama
Aug 1, 1988·AJR. American Journal of Roentgenology·E P SteinbergR I White
Apr 1, 1988·The British Journal of Radiology·J K HaldH Stormorken
Oct 1, 1988·Radiology·N R PoweM L Kinnison
Nov 1, 1987·Investigative Radiology·Z E PiaoP J Scanlon
May 1, 1986·Radiology·R I White, W J Halden
Oct 1, 1987·The New England Journal of Medicine·E C LasserH O Stolberg
Oct 1, 1987·The New England Journal of Medicine·M A Bettmann
Apr 1, 1986·Annals of Internal Medicine·C P TaliercioJ C Burnett
Sep 1, 1985·American Heart Journal·J A WisneskiD L Morris
Dec 1, 1974·The Journal of Clinical Investigation·D L EckbergF M Abboud
Jun 1, 1981·The Journal of Clinical Investigation·S R FindlayL M Lichtenstein
Jan 1, 1984·Catheterization and Cardiovascular Diagnosis·D K MurdockP J Scanlon

❮ Previous
Next ❯

Citations

Aug 1, 1991·Journal of the American College of Cardiology·J A Brinker
Sep 1, 1992·Clinical Pediatrics·K D Eggli
Mar 1, 1997·Catheterization and Cardiovascular Diagnosis·J A Brinker

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiovascular Diseases: Risk Factors

Cardiovascular disease is a significant health concern. Risk factors include hypertension, obesity, dyslipidemia and smoking. Women who are postmenopausal are at an increased risk of heart disease. Here is the latest research for risk factors of cardiovascular disease.