Monolateral sialadenitis following iodinated contrast media administration for carotid artery stenting.
We describe the occurrence of monolateral aseptic sialadenitis following non-iodinated contrast medium (ICM) administration for a carotid artery stenting procedure in a 71-year-old man. The mechanism for iodide-induced sialadenitis may be idiosyncratic or related to toxic accumulation of iodide. The risk for sialadenitis is directly related to serum iodide levels (> 10 mg/100 mL) and inversely related to normal renal function so that in renal impairment, ICM can be eliminated through alternative pathways such as the salivary glands and other excretory organs.
Capoccia
Laura
L
Division of Vascular Surgery, Department of Surgery Paride Stefanini, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy. lauracapoccia@yahoo.it
Sbarigia
Enrico
E
Speziale
Francesco
F
D000368:Aged; D017130:Angioplasty / Q000295:instrumentation*; D016893:Carotid Stenosis / Q000000981:diagnostic imaging* / Q000628:therapy*; D003287:Contrast Media / Q000009:adverse effects*; D006801:Humans; D007479:Iopamidol / Q000009:adverse effects / Q000031:analogs & derivatives*; D008297:Male; D011859:Radiography; D012720:Severity of Illness Index; D012793:Sialadenitis / Q000139:chemically induced* / Q000188:drug therapy; D015607:Stents; D013256:Steroids / Q000627:therapeutic use
D003287:Contrast Media; D013256:Steroids; C057937:iomeprol; D007479:Iopamidol