Contrast‐Induced encephalopathy following diagnostic coronary angiography

Rashid, Hytham; Brown, Jonathan; Nix, Emily; Covin, Alan Fisher

doi:10.1002/ccr3.5624

Cited by 4 publications

(2 citation statements)

References 11 publications

(29 reference statements)

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“…However, four of them were excluded because it was defined as allergic reactions, vasospasm, and posterior reversible encephalopathy syndrome, and complete data were not available in the other six papers. Finally, we accurately summarized 30 papers ( Leong and Fanning, 2012 ; Yan and Ramanathan, 2013 ; Kocabay et al, 2014 ; Nagamine et al, 2014 ; Hamra et al, 2017 ; Park et al, 2017 ; Spina et al, 2017 ; Dattani et al, 2018 ; Heemelaar et al, 2018 ; Hirata et al, 2018 ; Kahyaoğlu et al, 2018 ; Tong et al, 2018 ; Renault and Rouchet, 2019 ; Riahi et al, 2019 ; Şimşek et al, 2019 ; Zhao et al, 2019 , 2021 ; Fernando et al, 2020 ; Harada et al, 2020 ; Lei et al, 2020 ; Liu et al, 2020 ; Andone et al, 2021 ; Cristaldi et al, 2021 ; García-Pérez et al, 2021 ; Kamimura et al, 2021 ; Li et al, 2021 ; Vigano et al, 2021 ; Yao et al, 2021 ; Zhang et al, 2021 ; Rashid et al, 2022 ). A total of 127 patients were enrolled.…”

Section: Literature Reviewmentioning

confidence: 99%

Contrast-induced encephalopathy and permanent neurological deficit following cerebral angiography: A case report and review of the literature

Zhang

Zhang²,

Yuan³

et al. 2023

Front. Cell. Neurosci.

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Contrast-induced encephalopathy (CIE) is an uncommon complication associated with contrast exposure during angiographic procedures that is usually transient but occasionally leads to permanent complications or death. Due to the low incidence of CIE, there are still insufficient reports. This study was used to summarize the clinical features of CIE through a case report and systematic review. We summarized and reviewed 127 patients with CIE, and we found that the total incidence of CIE between men and women had no difference (49.61 and 50.39%, respectively), but the average age in female patients with CIE was older than that in male patients (62.19 and 58.77 years, respectively). Interestingly, the incidence of female patients with CIE in the poor prognosis group was significantly higher than that in the good prognosis group (62.50 and 36.51%, respectively), and the average age of these female patients in the poor prognosis group was younger than that in the good prognosis group (61.39 and 62.82 years, respectively). The contrast medium types were mainly nonionic (79.69 and 73.02%, respectively) and low-osmolar (54.69 and 71.43%, respectively) in both groups. Importantly, the total contrast media administrated in patients with poor prognoses was greater than that administrated in patients with good prognoses (198.07 and 188.60 ml, respectively). In addition, comorbidities in both groups included hypertension (55.91%), diabetes mellitus (20.47%), previous contrast history (15.75%), renal impairment (11.81%), and hyperlipidemia (3.15%). The percentage of patients with cerebral angiography was significantly higher in the poor prognosis group than that in the good prognosis group (37.50 and 9.52%, respectively), whereas the percentage of patients with coronary angiography in both groups had the opposite results (35.94 and 77.78%, respectively). In conclusion, CIE may not always have a benign outcome and can cause permanent deficits. Female gender, younger age, the higher dose of contrast medium, and the procedure of cerebral angiography may be related to the patient’s poor prognosis.

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Section: Literature Reviewmentioning

confidence: 99%

Contrast-induced encephalopathy and permanent neurological deficit following cerebral angiography: A case report and review of the literature

Zhang

Zhang²,

Yuan³

et al. 2023

Front. Cell. Neurosci.

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“…This situation, mainly reported after neurovascular interventions, has also been rarely seen in patients who underwent coronary angiography and may result in encephalopathy. 1 Encephalopathy can also be seen as posterior reversible encephalopathy syndrome (PRES), usually accompanied by rapidly progressive acute onset mental status changes, visual disturbances, paresis, and widespread seizures, often having a transient clinic and regressing within days. Cranial imaging in this syndrome is usually characterized by predominantly subcortical, parieto-occipital reversible vasogenic brain edema.…”

Section: Introductionmentioning

confidence: 99%

Posterior reversible encephalopathy syndrome caused by contrast media after percutaneous coronary intervention

Saraç,

Tonkaz,

Aydinyilmaz

et al. 2023

Cor Vasa

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Používání kontrastních látek je nedílnou součástí invazivních výkonů, hlavně radiodiagnostických, které se provádějí pro stanovení diagnózy a při léčbě na katetrizačním sále. Aplikace kontrastních látek po perkutánní koronární intervenci (PCI) je spojena s řadou komplikací. Vzácně popisovanou komplikací, která může vést k rozvoji encefalopatie, je kontrastní látkou indukovaná neurotoxicita. Tento článek se věnuje syndromu posteriorní reverzibilní encefalopatie (posterior reversible encephalopathy syndrome, PRES) jako vzácnému důsledku neurotoxicity vyvolané jódovou kontrastní látkou s akutním nástupem, která je -při časném stanovení diagnózy a zahájení léčby -reverzibilní; přičemž diagnózu lze stanovit neurologickým vyšetřením pomocí radiologických a zobrazovacích metod.

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Late transience and persistence of contrast-induced encephalopathy: a case report and a literature update

et al. 2023

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Contrast‐Induced encephalopathy following diagnostic coronary angiography

Cited by 4 publications

References 11 publications

Contrast-induced encephalopathy and permanent neurological deficit following cerebral angiography: A case report and review of the literature

Contrast-induced encephalopathy and permanent neurological deficit following cerebral angiography: A case report and review of the literature

Posterior reversible encephalopathy syndrome caused by contrast media after percutaneous coronary intervention

Late transience and persistence of contrast-induced encephalopathy: a case report and a literature update

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