颈动脉支架置入术使用碘化造影剂后发生的单侧涎腺炎。

Monolateral sialadenitis following iodinated contrast media administration for carotid artery stenting.

作者信息

Capoccia Laura, Sbarigia Enrico, Speziale Francesco

机构信息

Division of Vascular Surgery, Department of Surgery Paride Stefanini, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy.

出版信息

Vascular. 2010 Jan-Feb;18(1):34-6. doi: 10.2310/6670.2009.00050.

DOI:10.2310/6670.2009.00050

PMID:20122358

Abstract

We describe the occurrence of monolateral aseptic sialadenitis following non-iodinated contrast medium (ICM) administration for a carotid artery stenting procedure in a 71-year-old man. The mechanism for iodide-induced sialadenitis may be idiosyncratic or related to toxic accumulation of iodide. The risk for sialadenitis is directly related to serum iodide levels (> 10 mg/100 mL) and inversely related to normal renal function so that in renal impairment, ICM can be eliminated through alternative pathways such as the salivary glands and other excretory organs.

摘要

我们描述了一名71岁男性在接受非碘化造影剂（ICM）进行颈动脉支架置入术之后发生单侧无菌性涎腺炎的情况。碘诱导涎腺炎的机制可能是特异体质性的，或者与碘的毒性蓄积有关。涎腺炎的风险与血清碘水平直接相关（>10mg/100mL），与正常肾功能呈负相关，因此在肾功能损害时，ICM可通过唾液腺和其他排泄器官等替代途径排出。