Temporary Hemiplegia from Cerebral Injection of Diodrast during Catheter Aortography | Zendy

E. Converse Peirce | Zendy

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Temporary Hemiplegia from Cerebral Injection of Diodrast during Catheter Aortography

Author(s) -

E. Converse Peirce

Publication year - 1953

Publication title -

circulation

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 7.795

H-Index - 607

eISSN - 1524-4539

pISSN - 0009-7322

DOI - 10.1161/01.cir.7.3.385

Subject(s) - aortography , medicine , aortic arch , cerebral circulation , aorta , thoracic aorta , catheter , brain damage , anesthesia , radiology , cardiology

Brain damage manifested by convulsions, hemiplegia, or death may result whenever concentrated Diodrast is injected into the cerebral circulation. Reactions are fairly common following cerebral giography but may follow contrast visualization of the thoracic aorta by any method. The greatest danger is in aortography when the maximum dye concentration is in the aortic arch. The reactions probably do not result from vascular spasm but from an alteration in the blood-brain barrier. It is possible to minimize the danger of reactions in aortography by observing certain simple precautions. Treatment of brain damage when it occurs, however, is not satisfactory.

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