Incompatibility of Isovue 370 and papaverine in peripheral arteriography.
Complete thrombotic occlusion of the arterial blood flow in the upper extremity was produced after mixture of Isovue 370 (iopamidol) and papaverine hydrochloride during routine angiography. Bolus and then continuous infusion of urokinase failed to dissolve the thrombus. The patient required a surgical thrombectomy and recovered uneventfully. This case report demonstrates that caution should be exercised when Isovue 370 and papaverine are used in angiography.
Pallan
T M
TM
Department of Radiology, Brookdale Hospital Medical Center, New York, NY 11212.
Wulkan
I A
IA
Abadir
A R
AR
Flores
L
L
Chaudhry
M R
MR
Gintautas
J
J
D000792:Angiography; D001132:Arm / Q000098:blood supply; D001916:Brachial Artery / Q000000981:diagnostic imaging; D004347:Drug Interactions; D005260:Female; D006801:Humans; D007479:Iopamidol / Q000008:administration & dosage / Q000009:adverse effects*; D008875:Middle Aged; D010208:Papaverine / Q000008:administration & dosage / Q000009:adverse effects*; D013927:Thrombosis / Q000139:chemically induced* / Q000601:surgery
D010208:Papaverine; D007479:Iopamidol