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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Cardiovasc+Magn+Reson
2015 ; 17
(1
): 58
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
2015 Update on Acute Adverse Reactions to Gadolinium based Contrast Agents in
Cardiovascular MR Large Multi-National and Multi-Ethnical Population Experience
With 37788 Patients From the EuroCMR Registry
#MMPMID26170152
Bruder O
; Schneider S
; Pilz G
; van Rossum AC
; Schwitter J
; Nothnagel D
; Lombardi M
; Buss S
; Wagner A
; Petersen S
; Greulich S
; Jensen C
; Nagel E
; Sechtem U
; Mahrholdt H
J Cardiovasc Magn Reson
2015[Jul]; 17
(1
): 58
PMID26170152
show ga
OBJECTIVES: Specifically we aim to demonstrate that the results of our earlier
safety data hold true in this much larger multi-national and multi-ethnical
population. BACKGROUND: We sought to re-evaluate the frequency, manifestations,
and severity of acute adverse reactions associated with administration of several
gadolinium- based contrast agents during routine CMR on a European level.
METHODS: Multi-centre, multi-national, and multi-ethnical registry with
consecutive enrolment of patients in 57 European centres. RESULTS: During the
current observation 37,788 doses of Gadolinium based contrast agent were
administered to 37,788 patients. The mean dose was 24.7 ml (range 5-80 ml), which
is equivalent to 0.123 mmol/kg (range 0.01 - 0.3 mmol/kg). Forty-five acute
adverse reactions due to contrast administration occurred (0.12%). Most reactions
were classified as mild (43 of 45) according to the American College of Radiology
definition. The most frequent complaints following contrast administration were
rashes and hives (15 of 45), followed by nausea (10 of 45) and flushes (10 of
45). The event rate ranged from 0.05% (linear non-ionic agent gadodiamide) to
0.42% (linear ionic agent gadobenate dimeglumine). Interestingly, we also found
different event rates between the three main indications for CMR ranging from
0.05% (risk stratification in suspected CAD) to 0.22% (viability in known CAD).
CONCLUSIONS: The current data indicate that the results of the earlier safety
data hold true in this much larger multi-national and multi-ethnical population.
Thus, the "off-label" use of Gadolinium based contrast in cardiovascular MR
should be regarded as safe concerning the frequency, manifestation and severity
of acute events.
|*Adverse Drug Reaction Reporting Systems
[MESH]
|Acute Disease
[MESH]
|Cardiovascular Diseases/*diagnosis
[MESH]
|Contrast Media/*adverse effects
[MESH]
|Dose-Response Relationship, Drug
[MESH]
|Drug-Related Side Effects and Adverse Reactions/diagnosis/*ethnology
[MESH]