Skip to main content
Top
Published in: Abdominal Radiology 12/2016

01-12-2016

Premedication of pregnant patients with history of iodinated contrast allergy

Authors: Jeanne M. Horowitz, Jaspreet K. Bisla, Vahid Yaghmai

Published in: Abdominal Radiology | Issue 12/2016

Login to get access

Abstract

Pregnant patients can receive allergy premedication prior to a contrast-enhanced computed tomography exam if the exam is indicated. The risks and benefits of allergy premedication for pregnant patients will be discussed, as well as imaging strategies for the pregnant patient with a contrast allergy. Alternative imaging including ultrasound, noncontrast magnetic resonance imaging, or noncontrast computed tomography can be diagnostic depending on the clinical scenario and is usually preferred, allowing physicians to avoid giving allergy premedication in pregnancy, a 13 h delay, and risking a breakthrough reaction.
Literature
6.
go back to reference Greenberger PA, Patterson R (1991) The prevention of immediate generalized reactions to radiocontrast media in high-risk patients. J Allergy Clin Immunol 87(4):867–872CrossRefPubMed Greenberger PA, Patterson R (1991) The prevention of immediate generalized reactions to radiocontrast media in high-risk patients. J Allergy Clin Immunol 87(4):867–872CrossRefPubMed
7.
go back to reference Greenberger PA, Halwig JM, Patterson R, Wallemark CB (1986) Emergency administration of radiocontrast media in high-risk patients. J Allergy Clin Immunol 77(4):630–634CrossRefPubMed Greenberger PA, Halwig JM, Patterson R, Wallemark CB (1986) Emergency administration of radiocontrast media in high-risk patients. J Allergy Clin Immunol 77(4):630–634CrossRefPubMed
8.
go back to reference U.S. Food and Drug Administration, Department of Health and Human Services (2014) Content and format of labeling for human prescription drug and biological products: requirements for pregnancy and lactation labeling. Final rule. Fed Regist 79:72063–72103 U.S. Food and Drug Administration, Department of Health and Human Services (2014) Content and format of labeling for human prescription drug and biological products: requirements for pregnancy and lactation labeling. Final rule. Fed Regist 79:72063–72103
14.
go back to reference ACR Practice Guideline for Imaging Pregnant or Potentially Pregnant Adolescents and Women with Ionizing Radiation (2008). American College of Radiology ACR Practice Guideline for Imaging Pregnant or Potentially Pregnant Adolescents and Women with Ionizing Radiation (2008). American College of Radiology
15.
20.
go back to reference Leung AN, Bull TM, Jaeschke R, et al. (2011) An official American Thoracic Society/Society of Thoracic Radiology clinical practice guideline: evaluation of suspected pulmonary embolism in pregnancy. Am J Respir Crit Care Med 184(10):1200–1208. doi:10.1164/rccm.201108-1575ST CrossRefPubMed Leung AN, Bull TM, Jaeschke R, et al. (2011) An official American Thoracic Society/Society of Thoracic Radiology clinical practice guideline: evaluation of suspected pulmonary embolism in pregnancy. Am J Respir Crit Care Med 184(10):1200–1208. doi:10.​1164/​rccm.​201108-1575ST CrossRefPubMed
Metadata
Title
Premedication of pregnant patients with history of iodinated contrast allergy
Authors
Jeanne M. Horowitz
Jaspreet K. Bisla
Vahid Yaghmai
Publication date
01-12-2016
Publisher
Springer US
Published in
Abdominal Radiology / Issue 12/2016
Print ISSN: 2366-004X
Electronic ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-016-0843-3

Other articles of this Issue 12/2016

Abdominal Radiology 12/2016 Go to the issue

Classics in Abdominal Imaging

The T2 shading sign