Adverse reactions after intravascular iodinated contrast media administration and their management

Author:

Rašiová Mária1ORCID,Schlager Oliver2ORCID,Heiss Christian3ORCID,Brodmann Marianne4,Olinic Dan Mircea5ORCID,Boc Vinko6ORCID,Buso Giacomo7ORCID,Belch Jill8ORCID,Mazzolai Lucia9,Madaric Juraj10ORCID

Affiliation:

1. Department of Angiology, Faculty of Medicine, University of Pavol Jozef Šafárik, East Slovak Institute of Cardiovascular Diseases, Kosice, Slovakia

2. Division of Angiology, Department of Medicine II, Medical University of Vienna, Austria

3. Department of Clinical and Experimental Medicine, Faculty of Health and Medical Sciences, University of Surrey, Guildford, Vascular Department, Surrey and Sussex Healthcare NHS Trust, East Surrey Hospital, Redhill, United Kingdom

4. Division of Angiology, Medical University of Graz, Austria

5. Department of Interventional Cardiology, Medical Clinic No. 1, Emergency County Hospital, Cluj-Napoca, Romania

6. Department of Vascular Diseases, University Medical Centre Ljubljana, Slovenia

7. Department of Clinical and Experimental Sciences, Division of Internal Medicine, ASST Spedali Civili Brescia, University of Brescia, Italy

8. Division of Molecular and Clinical Medicine, Institute of Cardiovascular Research, Ninewells Hospital and Medical School, Dundee, United Kingdom

9. Angiology Division, Heart and Vessel Department, Lausanne University Hospital, University of Lausanne, Switzerland

10. Department of Angiology, Comenius University and National Institute of Cardiovascular Diseases, Bratislava, Slovakia

Abstract

Summary: Endovascular interventions and diagnostic examinations using iodinated contrast media (ICM) are standard of care in current vascular medicine. Although ICM use is generally considered safe, it may be associated with adverse reactions, vary from minor disturbances to rare, but severe life-threatening complications. This position paper of European Society of Vascular Medicine integrates current knowledge and summarizes the key information related to the use of intravascular ICM, serving as recommendation on prevention and management of acute, late, and very late adverse reactions. It should help the health professionals in all fields of vascular medicine to make decisions in daily practice for safe use of contrast media.

Publisher

Hogrefe Publishing Group

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