Safe amounts of contrast medium for angiocardiography in neonates and infants

Eur J Cardiol. 1977 Jul;5(5):373-80.

Abstract

The results were analysed of 485 (biplane) cineangiocardiograms performed in 200 consecutive cardiac investigations on neonates (under 4 wk) and infants (4 wk to 1 yr). 10 deaths occurred during or within 24 h of cardiac catheterization, all in patients who were profoundly acidemic because of their hemodynamic disturbance. A total dose of Cardio-Conray at any one investigation of 4-5 ml/kg body weight was satisfactory and without undue risk. Single injections of 1.5-2.0 ml/kg body weight were safe whilst providing optimal diagnostic information. The interval between multiple injections did not appear to affect the risk to the patients.

MeSH terms

  • Angiocardiography*
  • Cardiac Catheterization
  • Cineangiography
  • Contrast Media / administration & dosage*
  • Contrast Media / adverse effects
  • Heart Defects, Congenital / diagnostic imaging*
  • Humans
  • Infant
  • Infant, Newborn
  • Injections
  • Iothalamate Meglumine / administration & dosage
  • Iothalamate Meglumine / adverse effects
  • Iothalamic Acid / administration & dosage
  • Iothalamic Acid / adverse effects

Substances

  • Contrast Media
  • Iothalamic Acid
  • Iothalamate Meglumine