Naslov
Hypersensitivity Reactions to Iodinated Contrast Media

Autori
Plazonić, Željko ; Batinac, Tanja ; Bukvić, Marija

Izvornik
Cardiologia croatica (1848-543X) 10 (2015), 11-12; 269-273

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, stručni

Ključne riječi
neželjena reakcija ; jodni kontrastni mediji ; premedikacija.
(adverse reaction ; iodinated contrast media ; premedication)

Sažetak
Iodinated contrast agents are used to enhance X- ray procedures and can cause both immediate and non-immediate hypersensitivity reactions. Due to their increased use, related hypersensitivity reactions are also on the rise. Following the introduction of nonionic, low-osmolar contrast media the number of hypersensitivity reactions has decreased, but possible severe reactions, such as anaphylaxis, still represent a major concern. Radiologists and cardiologists should keep in mind that previously non-exposed patients could already be sensitized, and could present with a hypersensitivity reaction following the first administration. In previous reactors, especially in cases of severe reactions, an allergy work-up could provide useful information regarding contrast media selection. In patients with a confirmed allergy to contrast media, a contrast medium that has a negative skin testshould be chosen, with additional premedication. However, we must keep in mind that none of these measures offer a complete protection from repeated reaction.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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