title: Extravasation injuries and emergency suction as treatment.
abstract: To evaluate the efficiency of emergency suction in extravasation injuries of contrast medium, records of 11 patients treated for extravasation injuries with a combination of suction and saline washout were reviewed. All of the patients were treated in the first 2 hours after injury. The mean extravasated volume was 55 cc. There were no surgery-related complications, and all the patients experienced a relief of their preoperative pain. Except for two patients with blisters at admission, none of them suffered skin or soft-tissue necrosis. Mean time to complete healing was 9 days. Emergency suction therapy is safe and effective in preventing the skin and soft-tissue necrosis associated with extravasation injuries of hyperosmolar contrast medium.
authors.affiliation: Plastic and Reconstructive Surgery Department, Jules Bordet Institute for Cancer, Brussels, Belgium.
authors.forename: E
authors.initials: E
authors.lastname: Vandeweyer
authors.forename: O
authors.initials: O
authors.lastname: Heymans
authors.forename: R
authors.initials: R
authors.lastname: Deraemaecker
mesh_terms: D000368:Aged; D002057:Burns, Chemical / Q000601:surgery*; D003287:Contrast Media / Q000009:adverse effects*; D004630:Emergencies; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000601:surgery*; D005260:Female; D006801:Humans; D007262:Infusions, Intravenous; D007482:Iothalamate Meglumine / Q000009:adverse effects*; D015187:Lipectomy; D008297:Male; D008875:Middle Aged; D007507:Therapeutic Irrigation; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media; C001694:meglumine ioxithalamate; D007482:Iothalamate Meglumine