Shoulder arthrography: comparison of morbidity after use of various contrast media.

Abstract:

:This prospective study compares immediate and delayed patient discomfort in 177 patients following shoulder arthrography using intraarticular combinations of metrizamide, meglumine/sodium diatrizoate, meglumine diatrizoate, lidocaine, epinephrine, and air. Patients receiving conventional ionic monomeric positive contrast media had a 60% (90/150) incidence of moderate or severe delayed exacerbation of their baseline symptoms; only 14% (3/21) of patients receiving metrizamide, a nonionic contrast medium, had similar levels of postprocedural discomfort. Morbidity was somewhat diminished with the use of double-contrast (45%, 34/75) rather than single-contrast (75%, 56/75) examinations, and with avoidance of sodium-containing contrast agents or epinephrine. Nonionic or monovalent polymeric contrast media, despite their present high cost, may be the agents of choice if single-contrast arthrography is performed in joints (such as the shoulder, hip, and temporomandibular) associated with a high incidence of post-procedural pain.

journal_name

Radiology

journal_title

Radiology

authors

Hall FM,Goldberg RP,Wyshak G,Kilcoyne RF

doi

10.1148/radiology.154.2.3966120

subject

Has Abstract

pub_date

1985-02-01 00:00:00

pages

339-41

issue

2

eissn

0033-8419

issn

1527-1315

journal_volume

154

pub_type

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