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Optimum utilisation of intravascular radiological contrast media

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Abstract

The major current problem related to radiological contrast media is how best to achieve the optimum cost benefit efficiency in the deployment of contrast agents. Low osmolar contrast media (LOCM) are more comfortable for the patient and cause less adverse reactions than high osmolar contrast media (HOCM), but there is no statistically proven reduction in mortality. There is no improvement in diagnostic intravascular imaging when LOCM replaces HOCM. LOCM are 4–5 times more expensive than HOCM.

It is therefore proposed that, until adequate finances become available, HOCM might well continue to be utilised for routine injections for intravenous urography (IVU), computed tomography (CT) and for visceral angiography, reserving LOCM for high-risk patients, high-risk procedures and for painful procedures.

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Authors and Affiliations

  1. Little Orchard, 8 Clumber Road, S10 3LE, Sheffield, UK

    Ronald G. Grainger (Professor of Radiology)

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  1. Ronald G. Grainger
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Grainger, R.G. Optimum utilisation of intravascular radiological contrast media. Eur. Radiol. 2, 121–123 (1992). https://doi.org/10.1007/BF00171397

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