How to manage allergic reactions to contrast agent in pregnant patients

Amrita Sikka; Jaspreet K. Bisla; Priya V. Rajan; Laurie A. Chalifoux; Lori A. Goodhartz; Frank H. Miller; Vahid Yaghmai; Jeanne M. Horowitz

doi:10.2214/AJR.15.14976

How to manage allergic reactions to contrast agent in pregnant patients

Amrita Sikka, Jaspreet K. Bisla, Priya V. Rajan, Laurie A. Chalifoux, Lori A. Goodhartz, Frank H. Miller, Vahid Yaghmai, Jeanne M. Horowitz^*

^*Corresponding author for this work

Research output: Contribution to journal › Review article › peer-review

7 Scopus citations

Abstract

OBJECTIVE. This article reviews optimal treatment of allergic reactions to iodinated contrast material in pregnant patients. Initial evaluation and treatment of a pregnant patient is similar to that for a nonpregnant patient. However, additional steps, including assessment for uterine cramping, using left uterine displacement to improve venous return, and maintaining blood pressure to ensure placental perfusion, may be required. CONCLUSION. Adequate preparation and a team approach will provide optimal care for a pregnant patient who has an allergic reaction to a contrast agent.

Original language	English (US)
Pages (from-to)	247-252
Number of pages	6
Journal	American Journal of Roentgenology
Volume	206
Issue number	2
DOIs	https://doi.org/10.2214/AJR.15.14976
State	Published - Feb 2016

Keywords

Allergic reaction
Computed tomography
Iodinated contrast
Pregnancy

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

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10.2214/AJR.15.14976

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@article{f91d96240b2d4e0d9328ec63da9291d9,

title = "How to manage allergic reactions to contrast agent in pregnant patients",

abstract = "OBJECTIVE. This article reviews optimal treatment of allergic reactions to iodinated contrast material in pregnant patients. Initial evaluation and treatment of a pregnant patient is similar to that for a nonpregnant patient. However, additional steps, including assessment for uterine cramping, using left uterine displacement to improve venous return, and maintaining blood pressure to ensure placental perfusion, may be required. CONCLUSION. Adequate preparation and a team approach will provide optimal care for a pregnant patient who has an allergic reaction to a contrast agent.",

keywords = "Allergic reaction, Computed tomography, Iodinated contrast, Pregnancy",

author = "Amrita Sikka and Bisla, {Jaspreet K.} and Rajan, {Priya V.} and Chalifoux, {Laurie A.} and Goodhartz, {Lori A.} and Miller, {Frank H.} and Vahid Yaghmai and Horowitz, {Jeanne M.}",

note = "Publisher Copyright: {\textcopyright} American Roentgen Ray Society.",

year = "2016",

month = feb,

doi = "10.2214/AJR.15.14976",

language = "English (US)",

volume = "206",

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publisher = "American Roentgen Ray Society",

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T1 - How to manage allergic reactions to contrast agent in pregnant patients

AU - Sikka, Amrita

AU - Bisla, Jaspreet K.

AU - Rajan, Priya V.

AU - Chalifoux, Laurie A.

AU - Goodhartz, Lori A.

AU - Miller, Frank H.

AU - Yaghmai, Vahid

AU - Horowitz, Jeanne M.

N1 - Publisher Copyright: © American Roentgen Ray Society.

PY - 2016/2

Y1 - 2016/2

N2 - OBJECTIVE. This article reviews optimal treatment of allergic reactions to iodinated contrast material in pregnant patients. Initial evaluation and treatment of a pregnant patient is similar to that for a nonpregnant patient. However, additional steps, including assessment for uterine cramping, using left uterine displacement to improve venous return, and maintaining blood pressure to ensure placental perfusion, may be required. CONCLUSION. Adequate preparation and a team approach will provide optimal care for a pregnant patient who has an allergic reaction to a contrast agent.

AB - OBJECTIVE. This article reviews optimal treatment of allergic reactions to iodinated contrast material in pregnant patients. Initial evaluation and treatment of a pregnant patient is similar to that for a nonpregnant patient. However, additional steps, including assessment for uterine cramping, using left uterine displacement to improve venous return, and maintaining blood pressure to ensure placental perfusion, may be required. CONCLUSION. Adequate preparation and a team approach will provide optimal care for a pregnant patient who has an allergic reaction to a contrast agent.

KW - Allergic reaction

KW - Computed tomography

KW - Iodinated contrast

KW - Pregnancy

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JO - American Journal of Roentgenology

JF - American Journal of Roentgenology

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ER -

How to manage allergic reactions to contrast agent in pregnant patients

Abstract

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