Iodine and Gadolinium Contrast Reactions: What Is the Risk and Role of Premedication, Abbreviated Protocols, Prior History of Reactions, and Cross-Reactivity?
Allergy
Gadolinium contrast media
Iodinated contrast media
Rapid premedication
Steroid premedication
Journal
Radiologic clinics of North America
ISSN: 1557-8275
Titre abrégé: Radiol Clin North Am
Pays: United States
ID NLM: 0123703
Informations de publication
Date de publication:
Nov 2024
Nov 2024
Historique:
medline:
12
10
2024
pubmed:
12
10
2024
entrez:
11
10
2024
Statut:
ppublish
Résumé
Immediate hypersensitivity reactions to iodinated contrast media and gadolinium-based contrast media can be life-threatening. While corticosteroid premedication or agent-switching may mitigate risk, evidence is largely indirect and based on historical studies; recent literature refutes the efficacy. Guidance on premedication varies between organizations worldwide. No strategy eliminates reactions, and indirect consequences of premedication are substantial. Accelerated regimens are often used for emergencies, but are of questionable efficacy. Identifying "high-risk" patients is complex, but a history of reactions (to the same contrast class) is the biggest risk factor.
Identifiants
pubmed: 39393853
pii: S0033-8389(24)00037-X
doi: 10.1016/j.rcl.2024.02.014
pii:
doi:
Substances chimiques
Contrast Media
0
Gadolinium
AU0V1LM3JT
Iodine
9679TC07X4
Iodine Compounds
0
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
949-957Informations de copyright
Copyright © 2024 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Disclosure J.S. McDonald reports investigator-initiated research grants and consulting work with GE Healthcare independent of the current review.