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Journal of the Korean Wound Management Society 2012;8(1): 10-12. |
| 조영제에 의한 혈관외유출손상 |
| 정현욱ㆍ서보미ㆍ이종원 |
| 가톨릭대학교 의과대학 성형외과학교실 |
| Extravasation Injury of Contrast Media |
| Hyunwook Jung, Bommie F. Seo, Jong-Won Rhie |
| Department of Plastic Surgery, College of Medicine, Catholic University of Korea, Seoul, Korea |
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Published online: 30 May 2012. |
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| ABSTRACT |
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The incidence of radiographic contrast medium extravasation has been increasing due to the expanding availability of contrast enhanced imaging. Contrast medium is usually injected into a limited space such as the forearm or hand, and when extravasated, may cause ischemia or even compartment syndrome. The authors present a review of the literature regarding clinical presentation, risk factors, and management of contrast extravasation injuries. A review of the literature through PubMed Central was done using the keywords "extravasation", "contrast media", and "contrast medium". Any unrelated search results, such as anastomosis site extravasation or extravasation during evaluation of gastrointestinal, urogenital organ patency were excluded. The incidence of extravasation during contrast enhanced imaging was approximately 0.45%. The agent selected was usually a nonionic iodinated agent. Injury severity increased in proportion to the volume of leakage and concentration of iodine, and most recovered with conservative care. However, extensive necrosis of tissue and skin as well as acute compartment syndrome was seen when a large volume of contrast medium extravasated. Extravasation of contrast medium usually heals without sequelae. However, in severe cases it may cause skin necrosis, ulceration, or even acute compartment syndrome. Therefore, preventive measures, close observation as well as appropriate intervention is essential. (J Korean Wound Management Soc 2012;8:10-12) |
| Key Words:
Extravasation, Contrast media, Contrast medium, Computerized tomography |
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