Venous-Lymphatic Intravasation During Hysterosalpingography Using Hydrosoluble Contrast Medium

Fianza, A. La; Fachinetti, Camilla; Gorone, Maria Sole Prevedoni

doi:10.1097/01.jwi.0000159508.18689.84

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…The increased viscosity of Iodamide inadvertently resulted in excessive pressure during the injection of contrast material. Our results are comparable to that of previous studies [ 13 ]. Venous and lymphatic contrast intravasation was considered a serious side effect in HSG in the past, causing pulmonary embolism.…”

Section: Discussionsupporting

confidence: 92%

Diagnostic image quality of hysterosalpingography: ionic versus non ionic water soluble iodinated contrast media

H¹,

Jayapragasam²,

Abdullah³

2009

Biomed. Imaging Interv. J.

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ObjectiveTo compare the diagnostic image quality between three different water soluble iodinated contrast media in hysterosalpingography (HSG).Material and methodIn a prospective randomised study of 204 patients, the diagnostic quality of images obtained after hysterosalpingography were evaluated using Iopramide (106 patients) and Ioxaglate (98 patients). 114 patients who had undergone HSG examination using Iodamide were analysed retrospectively. Image quality was assessed by three radiologists independently based on an objective set of criteria. The obtained results were statistically analysed using Kruskal-Wallis and Mann-Whitney U test.ResultsVisualisation of fimbrial rugae was significantly better with Iopramide and Ioxaglate than Iodamide. All contrast media provided acceptable diagnostic image quality with regard to uterine, fallopian tubes outline and peritoneal spill. Uterine opacification was noted to be too dense in all three contrast media and not optimal for the assessment of intrauterine pathology. Higher incidence of contrast intravasation was noted in the Iodamide group. Similarly, the numbers of patients diagnosed with bilateral blocked fallopian tubes were also higher in the Iodamide group.ConclusionHSG using low osmolar contrast media (Iopramide and Ioxaglate) demonstrated diagnostic image qualities similar to HSG using conventional high osmolar contrast media (Iodamide). However, all three contrast media were found to be too dense for the detection of intrauterine pathology. Better visualisation of the fimbrial outline using Ioxaglate and Iopramide were attributed to their low contrast viscosity. The increased incidence of contrast media intravasation and bilateral tubal blockage using Iodamide are probably related to the high viscosity.

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Section: Discussionsupporting

confidence: 92%

Diagnostic image quality of hysterosalpingography: ionic versus non ionic water soluble iodinated contrast media

H¹,

Jayapragasam²,

Abdullah³

2009

Biomed. Imaging Interv. J.

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“…La Fianza and Camilla [32], in a series of 1395 hysterosalpingography examinations, did not report any anaphylactoidlike reactions. There are several other reported cases of urticaria associated with hysterosalpingography in the literature, but they used oil-based iodinated contrast media.…”

Section: Hysterosalpingographymentioning

confidence: 91%

“…Exposure to iodinated contrast media in hysterosalpingography can come from direct exposure of the uterus and fallopian tubes, venous and lymphatic intravasation, and spillage into the peritoneal cavity [32].…”

Section: Hysterosalpingographymentioning

confidence: 99%

Anaphylactoid Reactions to the Nonvascular Administration of Water-Soluble Iodinated Contrast Media

Davis

2015

American Journal of Roentgenology

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Hysterosalpingography: an imaging Atlas with cross-sectional correlation

2014

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Hysterosalpingography (HSG) provides a unique combination of both fallopian tube and uterine cavity evaluation. A comprehensive understanding of both HSG and correlative cross-sectional imaging findings are essential radiologic skills. This article will review the spectrum of technical artifacts, anatomic variants, congenital uterine anomalies, uterine and tubal pathology, and postsurgical findings as they appear on HSG. Additionally, correlation with MR and ultrasound images is provided. This review article serves as a reference for residents new to HSG as well as staff who perform and interpret HSG infrequently.

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Venous-Lymphatic Intravasation During Hysterosalpingography Using Hydrosoluble Contrast Medium

Cited by 4 publications

References 10 publications

Diagnostic image quality of hysterosalpingography: ionic versus non ionic water soluble iodinated contrast media

Diagnostic image quality of hysterosalpingography: ionic versus non ionic water soluble iodinated contrast media

Anaphylactoid Reactions to the Nonvascular Administration of Water-Soluble Iodinated Contrast Media

Hysterosalpingography: an imaging Atlas with cross-sectional correlation

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