[Gadolinium-DTPA (Magnevist) as contrast medium for arterial DSA].
16 DSA investigations using intra-arterial Gd-DTPA were performed on 12 patients. The contrast medium was administered either as a 0.5 molar gadolinium solution (commercially available) or diluted with distilled water to a 0.2-0.4 molar gadolinium solution. The injection was made either by pressure injector or by hand. The aortic arch, abdominal aorta and pelvic and lower limb arteries were examined. 14 of the 16 procedures were diagnostically adequate, but compared with iodinated contrast materials, contrast was less marked. There were no cardiovascular, neurological or allergic side effects. Three patients suffered a feeling of heat and one patient had mild pain during the injection. Even large volumes rapidly injected (up to 20 ml/s of the commercially available solution) were well tolerated. DSA with intra-arterial Gd-DTPA seems to be a suitable alternative for vascular imaging if iodine-containing contrast materials are contraindicated.
Schild
H H
HH
Klinik mit Poliklinik für Radiologie, Johannes-Gutenberg-Universität Mainz.
Weber
W
W
Boeck
E
E
Mildenberger
P
P
Strunk
H
H
Düber
C
C
Grebe
P
P
Schadmand-Fischer
S
S
Thelen
M
M
D015901:Angiography, Digital Subtraction / Q000379:methods*; D003287:Contrast Media / Q000008:administration & dosage / Q000009:adverse effects; D004341:Drug Evaluation; D005682:Gadolinium / Q000008:administration & dosage / Q000009:adverse effects; D019786:Gadolinium DTPA; D006801:Humans; D007269:Injections, Intra-Arterial; D007472:Iohexol / Q000031:analogs & derivatives; D007479:Iopamidol; D009942:Organometallic Compounds / Q000008:administration & dosage / Q000009:adverse effects; D004369:Pentetic Acid / Q000008:administration & dosage / Q000009:adverse effects / Q000031:analogs & derivatives*
D003287:Contrast Media; D009942:Organometallic Compounds; D007472:Iohexol; C038192:iopromide; D004369:Pentetic Acid; D005682:Gadolinium; D007479:Iopamidol; D019786:Gadolinium DTPA
Gadolinium-DTPA (Magnevist) als Kontrastmittel für die arterielle DSA.