nach oben

Abdominal Radiology

Erschienen in:

22.07.2016

Premedication of pregnant patients with history of iodinated contrast allergy

verfasst von: Jeanne M. Horowitz, Jaspreet K. Bisla, Vahid Yaghmai

Erschienen in: Abdominal Radiology | Ausgabe 12/2016

Einloggen, um Zugang zu erhalten

Abstract

Pregnant patients can receive allergy premedication prior to a contrast-enhanced computed tomography exam if the exam is indicated. The risks and benefits of allergy premedication for pregnant patients will be discussed, as well as imaging strategies for the pregnant patient with a contrast allergy. Alternative imaging including ultrasound, noncontrast magnetic resonance imaging, or noncontrast computed tomography can be diagnostic depending on the clinical scenario and is usually preferred, allowing physicians to avoid giving allergy premedication in pregnancy, a 13 h delay, and risking a breakthrough reaction.

American College of Radiology Manual on Contrast Media, version 10.1 (2015) http://www.acr.org/quality-safety/resources/contrast-manual

Lasser EC, Berry CC, Mishkin MM, et al. (1994) Pretreatment with corticosteroids to prevent adverse reactions to nonionic contrast media. AJR Am J Roentgenol 162(3):523–526. doi:10.2214/ajr.162.3.8109489 CrossRefPubMed

Brockow K, Christiansen C, Kanny G, et al. (2005) Management of hypersensitivity reactions to iodinated contrast media. Allergy 60(2):150–158. doi:10.1111/j.1398-9995.2005.00745.x CrossRefPubMed

Tramer MR, von Elm E, Loubeyre P, Hauser C (2006) Pharmacological prevention of serious anaphylactic reactions due to iodinated contrast media: systematic review. BMJ 333(7570):675. doi:10.1136/bmj.38905.634132.AE CrossRefPubMedPubMedCentral

Lasser EC, Berry CC, Talner LB (1987) Pretreatment with corticosteroids to alleviate reactions to intravenous contrast material. N Engl J Med 317(14):845–849. doi:10.1056/NEJM198710013171401 CrossRefPubMed

Greenberger PA, Patterson R (1991) The prevention of immediate generalized reactions to radiocontrast media in high-risk patients. J Allergy Clin Immunol 87(4):867–872CrossRefPubMed

Greenberger PA, Halwig JM, Patterson R, Wallemark CB (1986) Emergency administration of radiocontrast media in high-risk patients. J Allergy Clin Immunol 77(4):630–634CrossRefPubMed

U.S. Food and Drug Administration, Department of Health and Human Services (2014) Content and format of labeling for human prescription drug and biological products: requirements for pregnancy and lactation labeling. Final rule. Fed Regist 79:72063–72103

Gerosa M, Meroni PL, Cimaz R (2014) Safety considerations when prescribing immunosuppression medication to pregnant women. Expert Opin Drug Saf 13(12):1591–1599. doi:10.1517/14740338.2014.951326 CrossRefPubMed

10.

Simons FE, Schatz M (2012) Anaphylaxis during pregnancy. J Allergy Clin Immunol 130(3):597–606. doi:10.1016/j.jaci.2012.06.035 CrossRefPubMed

11.

Davenport MS, Cohan RH, Caoili EM, Ellis JH (2009) Repeat contrast medium reactions in premedicated patients: frequency and severity. Radiology 253(2):372–379. doi:10.1148/radiol.2532090465 CrossRefPubMed

12.

Freed KS, Leder RA, Alexander C, DeLong DM, Kliewer MA (2001) Breakthrough adverse reactions to low-osmolar contrast media after steroid premedication. AJR Am J Roentgenol 176(6):1389–1392. doi:10.2214/ajr.176.6.1761389 CrossRefPubMed

13.

Sikka A, Bisla JK, Rajan PV, et al. (2016) How to manage allergic reactions to contrast agent in pregnant patients. AJR Am J Roentgenol 206(2):247–252. doi:10.2214/AJR.15.14976 CrossRefPubMed

14.

ACR Practice Guideline for Imaging Pregnant or Potentially Pregnant Adolescents and Women with Ionizing Radiation (2008). American College of Radiology

15.

Atwell TD, Lteif AN, Brown DL, et al. (2008) Neonatal thyroid function after administration of IV iodinated contrast agent to 21 pregnant patients. AJR Am J Roentgenol 191(1):268–271. doi:10.2214/AJR.07.3336 CrossRefPubMed

16.

Kochi MH, Kaloudis EV, Ahmed W, Moore WH (2012) Effect of in utero exposure of iodinated intravenous contrast on neonatal thyroid function. J Comput Assist Tomogr 36(2):165–169. doi:10.1097/RCT.0b013e31824cc048 CrossRefPubMed

17.

American College of Radiology Appropriateness Criteria https://acsearch.acr.org/list. Accessed 26 May 2016

18.

Katz DS, Klein MA, Ganson G, Hines JJ (2012) Imaging of abdominal pain in pregnancy. Radiol Clin North Am 50(1):149–171. doi:10.1016/j.rcl.2011.08.001 CrossRefPubMed

19.

Kirsch J, Brown RKJ, Henry TS, et al. ACR Appropriateness Criteria® acute chest pain—suspected pulmonary embolism. American College of Radiology. Available at https://acsearch.acr.org/docs/69404/Narrative/. Accessed 19 July 2016

20.

Leung AN, Bull TM, Jaeschke R, et al. (2011) An official American Thoracic Society/Society of Thoracic Radiology clinical practice guideline: evaluation of suspected pulmonary embolism in pregnancy. Am J Respir Crit Care Med 184(10):1200–1208. doi:10.1164/rccm.201108-1575ST CrossRefPubMed

21.

Litmanovich DE, Tack D, Lee KS, Shahrzad M, Bankier AA (2014) Cardiothoracic imaging in the pregnant patient. J Thoracic Imaging 29(1):38–49. doi:10.1097/RTI.0000000000000064 CrossRefPubMed

22.

Wallace GW, Davis MA, Semelka RC, Fielding JR (2012) Imaging the pregnant patient with abdominal pain. AbdomImaging 37(5):849–860. doi:10.1007/s00261-011-9827-5

23.

Wang PI, Chong ST, Kielar AZ (2012) Imaging of pregnant and lactating patients: part 2, evidence-based review and recommendations. AJR Am J Roentgenol 198(4):785–792. doi:10.2214/AJR.11.8223 CrossRefPubMed

24.

Smith MP, Katz DS, Rosen MP, et al. ACR Appropriateness Criteria® right lower quadrant pain—suspected appendicitis. American College of Radiology. Available at https://acsearch.acr.org/docs/69357/Narrative/. Accessed 19 July 2016.

25.

Moreno CC, Beland MD, Goldfarb S, et al. ACR Appropriateness Criteria® acute onset flank pain—suspicion of stone disease (Urolithiasis). American College of Radiology. Available at https://acsearch.acr.org/docs/69362/Narrative/. Accessed 19 July 2016.

26.

Yarmish GM, Smith MP, Rosen MP, et al. ACR Appropriateness Criteria® right upper quadrant pain. American College of Radiology. Available at https://acsearch.acr.org/docs/69474/Narrative/. Accessed 19 July 2016.

27.

Katz DS, Baker ME, Rosen MP, et al. ACR Appropriateness Criteria® suspected small bowel obstruction. American College of Radiology. Available at https://acsearch.acr.org/docs/69476/Narrative/. Accessed 19 July 2016.

28.

Kim DH, Carucci LR, Baker ME, et al. ACR Appropriateness Criteria® Crohn Disease. American College of Radiology. Available at https://acsearch.acr.org/docs/69470/Narrative/. 19 July 2016.

Titel: Premedication of pregnant patients with history of iodinated contrast allergy
verfasst von: Jeanne M. Horowitz
Jaspreet K. Bisla
Vahid Yaghmai
Publikationsdatum: 22.07.2016
Verlag: Springer US
Erschienen in: Abdominal Radiology / Ausgabe 12/2016
Print ISSN: 2366-004X
Elektronische ISSN: 2366-0058
DOI: https://doi.org/10.1007/s00261-016-0843-3

Neu im Fachgebiet Radiologie

18.04.2024 | Pädiatrische Notfallmedizin | Nachrichten

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Premedication of pregnant patients with history of iodinated contrast allergy

Abstract

Neu im Fachgebiet Radiologie

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

Wie toxische Männlichkeit der Gesundheit von Männern schadet

Studie bestätigt Potenzial von KI in der Radiologie

Quantitative Angiografie könnte IVUS-Alternative darstellen

Update Radiologie

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 12/2016

Through thick and thin: a pictorial review of the endometrium

Clinical and imaging predictors of management in retained products of conception

Multimodality imaging of locally recurrent and metastatic cervical cancer: emphasis on histology, prognosis, and management

Torsion, infarction, and rupture of a nongravid uterus: a complication of a large ovarian cyst

Is pelvic MRI in women presenting with pelvic endometriosis suggestive of associated ileal, appendicular, or cecal involvement?

Predictive ability of maximal tumor diameter on MRI for high-risk endometrial cancer

Neu im Fachgebiet Radiologie

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

Wie toxische Männlichkeit der Gesundheit von Männern schadet

Studie bestätigt Potenzial von KI in der Radiologie

Quantitative Angiografie könnte IVUS-Alternative darstellen

Update Radiologie