Hopkins R M, Adams M D, Lau D H, Creighton J M, Hoey G B
Radiology. 1981 Sep;140(3):713-7. doi: 10.1148/radiology.140.3.7280240.
Ioglucomide, a new iodinated nonionic contrast medium directed primarily toward myelographic use, was subjected to an extensive toxicological examination in animals. In the majority of studies, ioglucomide was compared directly with metrizamide. In some respects, including freedom from production of arachnoiditis, ioglucomide and metrizamide were comparable. However, acute toxicity after intravenous injection or instillation into cerebrospinal fluid was significantly less for ioglucomide. Also, in contrast to metrizamide, ioglucomide produced no evidence of any type of convulsive activity after subarachnoid administration. The improved safety of ioglucomide could not be related to osmolality; therefore, the importance of osmolality for nonionic myelographic agent safety is questioned.
碘葡酰胺是一种主要用于脊髓造影的新型碘化非离子型造影剂,在动物身上进行了广泛的毒理学检查。在大多数研究中,碘葡酰胺直接与甲泛葡胺进行了比较。在某些方面,包括不引起蛛网膜炎,碘葡酰胺和甲泛葡胺相当。然而,碘葡酰胺静脉注射或注入脑脊液后的急性毒性明显较低。此外,与甲泛葡胺不同,碘葡酰胺蛛网膜下腔给药后未出现任何类型惊厥活动的迹象。碘葡酰胺安全性的提高与渗透压无关;因此,渗透压对非离子型脊髓造影剂安全性的重要性受到质疑。