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Injury to the upper extremity caused by extravasation of contrast medium: a true emergency.
Journal article

Injury to the upper extremity caused by extravasation of contrast medium: a true emergency.

  • 2007-05-09
Published in:
  • Scandinavian journal of plastic and reconstructive surgery and hand surgery. - 2007
Adult
Aged
Aged, 80 and over
Contrast Media
Extravasation of Diagnostic and Therapeutic Materials
Female
Forearm Injuries
Humans
Iohexol
Male
Middle Aged
Retrospective Studies
Time Factors
English This retrospective clinical study, over a period of four years, includes 16 patients who had extravasation of iopromidum 623 mg (Ultravist 300) in the upper extremity during computed tomography (CT). Although conservative management is sufficient in most cases, seven patients were operated on. The mean time between extravasation and operation was 155 minutes. The most complicated postoperative course occurred when the operation was delayed 300 minutes after extravasation. When patients were treated early, there was no permanent postoperative impairment. Extravasation of contrast is an increasing cause of potential complications in the forearm as a result of the use of power injectors in CT. Immediate assessment by an experienced plastic surgeon followed by either conservative treatment or quick intervention if necessary may avoid serious damage.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://sonar.ch/global/documents/1130
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