Gross-Fengels W, Beyer D, Fischbach R, Lanfermann H
Poliklinik für Radiologische Diagnostik, Universität zu Köln.
Med Klin (Munich). 1991 Nov 15;86(11):561-5.
Side-effects and complications from 2,600 intravenous digital-subtraction-angiographies (IV-DSA) are reported. All studies were performed in a standardized technique using a non-ionic contrast agent (Iopromid 370 mg J/ml). Side-effects or complications were noted in 2.5% of all IV-DSA. Most often nausea (0.92%), urticaria (0.5%), angina pectoris (0.5%) and symptomatic alterations of blood-pressure (0.27%) were recorded. 8.4% of all reactions occurred with a delay of at least one hour. All side-effects and complications resolved, partly under symptomatic therapy. In one (0.04%) out of 2,600 studies a severe allergoid reaction occurred, affording intensive-care therapy. With proper patient selection and a suitable technique, IV-DSA may be regarded--within the angiographic methods--as a procedure of relatively low risk.
报告了2600例静脉数字减影血管造影（IV-DSA）的副作用和并发症。所有研究均采用标准化技术，使用非离子型造影剂（碘普罗胺370mgI/ml）进行。在所有IV-DSA中，2.5%出现了副作用或并发症。最常记录到的是恶心（0.92%）、荨麻疹（0.5%）、心绞痛（0.5%）和血压症状性改变（0.27%）。所有反应中有8.4%发生延迟至少1小时。所有副作用和并发症均得到缓解，部分是在对症治疗下。在2600例研究中有1例（0.04%）发生了严重的类过敏反应，需要重症监护治疗。通过适当的患者选择和合适的技术，在血管造影方法中，IV-DSA可被视为一种风险相对较低的操作。
