Effect of Radio Contrast Media on the Red Blood Cell An in vitro Study on Human Erythrocytes

  • P. Aspelin
  • H. Schmid-Schönbein
Conference paper

Abstract

The effect of ionic contrast media on red cell morphology and deformability was investigated. The morphologic changes were studied by interference contrast optics in vitro. All the contrast media studied produced changes in red cell morphology, in solutions both isotonic and hypertonic to blood. The changes increased with increasing molar concentration and increasing osmolarity of the contrast media. The ionic contrast media in low volume ratio transformed the cells into crenated spheres (‘echinocytes’) in solutions both isotonic and hypertonic to blood. At high volume ratio the ionic media of high osmolarity caused the red cells to become markedly shrunken (‘desiccocytes’). The non-ionic contrast medium of low osmolarity never produced these desiccocytes but produced echinocytes in all volume ratios.

The red cell deformability was measured by the filtration method. This showed that the echinocytes produced by the isotonic contrast media solutions were less rigid than the echinocytes produced by the hypertonic contrast media. Furthermore, the latter were less rigid than the hypertonically induced desiccocytes.

Key Words

Blood rheology echinocytic agents Osmolarity Radio-opaque contrast media Red cell deformability Red cell shape 

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References

  1. 1.
    Almén, T.: Contrast agent design. J. Theoret. Biol.24, 216, 1969CrossRefGoogle Scholar
  2. 2.
    Almén, T., Aspelin, P.: Cardiovascular effects of ionic monomeric and ionic dimeric and non-ionic contrast media. Effects in animals on myocardial contractile force, pulmonary and aortic blood pressure and aortic endothelium. Invest. Radiol.10, 557, 1975PubMedCrossRefGoogle Scholar
  3. 3.
    Almén, T., Aspelin, P., Levin, B.: Effect of ionic and non-ionic contrast media on aortic and pulmonary arterial pressure. An angiographic study in rabbits. Invest. Radiol.10, 519, 1975PubMedCrossRefGoogle Scholar
  4. 4.
    Aspelin, P.: Effects of non-ionic contrast media on erythrocyte morphology (in press, 1977)Google Scholar
  5. 5.
    Aspelin, P.: Effect of ionic and non-ionic contrast media on whole blood viscosity, plasma viscosity and hematocrit. (To be published)Google Scholar
  6. 6.
    Aspelin, P.: Effect of ionic and non-ionic contrast media on red-cell deformability. (To be published)Google Scholar
  7. 7.
    Aspelin, P., Schmid-Schönbein, H.: Effect of ionic and non-ionic contrast media on red cell aggregation (in press, 1977)Google Scholar
  8. 8.
    Bernstein, E., Evans, R., Saltzman, G.F.: Physico-chemical properties of blood following exposure to methylglucamine iodipamide and other contrast media. Acta Radiol. Diagn. (Stockh.) 2, 401, 1964Google Scholar
  9. 9.
    Bessis, M., Mohandas, N.: Deformability of normal, shape-altered and pathological red cells. Blood Cells1, 315, 1975Google Scholar
  10. 10.
    Bessis, M., Weed, R.J., Leblond, P.E.: Red Cell Shape. Physiology, Pathology, Ultrastructure. New York-Heidelberg-Berlin, Springer-Verlag 1973Google Scholar
  11. 11.
    Björk, L.: Effects of angiocardiography on erythrocyte aggregation in the conjunctival vessels. Acta Radiol. Diagn. (Stockh.) 6, 459, 1967Google Scholar
  12. 12.
    Braasch, D.: Red cell deformability and capillary blood flow. Physiol. Rev.51, 679, 1971Google Scholar
  13. 13.
    Brånemark, P.I., Lindström, J.: Studies in the function of nutritive capillaries in the connective tissue in rabbits ear chamber. J. Anat. (London) 97, 323, 1963Google Scholar
  14. 14.
    Brånemark, P.I., Lindström, J.: Shape of circulating blood corpuscles. Biorheol.1, 139, 1963Google Scholar
  15. 15.
    Brånemark, P.I., Jacobsson, B., Sörensen, S.E.: Microvascular effects of topically applied contrast media. Acta Radiol. Diagn. (Stockh.) 8, 547, 1969Google Scholar
  16. 16.
    Brown, R., Youmans, R., Livanec, C., Derrick, J., Bond, T., Guest, M.: Cinemicrographic observations of the effects of contrast media on the microcirculation. Vasc. Surg.2, 109, 1968PubMedGoogle Scholar
  17. 17.
    Chaplin, H., Carlsson, E.: Changes in human red blood cells during in vitro exposure to several roentgenologic contrast. Media. Am. J. Roentgenol. Radium. Ther. Nucl. Med.86, 1127, 1961Google Scholar
  18. 18.
    Chien, S.: Electrochemical and ultrastructural aspects of red cell aggregation. Bibl. Anat.11, 244, 1973PubMedGoogle Scholar
  19. 19.
    Chien, S., Luse, S., Bryant, C.: Hemolysis during filtration through micropores. Microvasc. Res.3, 183, 1971PubMedCrossRefGoogle Scholar
  20. 20.
    Chien, S., Usami, S., Dellenback, R., Gregersen, M.: Blood viscosity: Influence of erythrocyte deformation. Science157, 827, 1967PubMedCrossRefGoogle Scholar
  21. 21.
    Datta, S., Bluming, A.: Red cell clumping after intravenous contrast medium. (Cont.) N. Engl. J. Med.289, 1253, 1973PubMedGoogle Scholar
  22. 22.
    Effros, R.M.: Impairment of red cell transit time through the canine lungs following injections of hypertonic fluids. Circ. Res.31, 590, 1972PubMedGoogle Scholar
  23. 23.
    Ehrly, A., Müller, H.: Aggregation und Desaggregation von Erythrozyten. Acta Haematol. (Basel) 36, 323, 1966PubMedCrossRefGoogle Scholar
  24. 24.
    Fries, E.D., Stanton, J.R., Emerson, C.P.: Estimation of the relative velocities of plasma and red cells in the circulation of man. Am. J. Physiol.157, 163, 1949Google Scholar
  25. 25.
    Gerlach, E., Deuticke, B.: Hemmung der Erythrozyten-Sedimentation und Aggregation in vitro durch verschiedene Substanzen. Klin. Wochenschr.44, 202, 1966PubMedCrossRefGoogle Scholar
  26. 26.
    Gregersen, M.J., Bryant, C.: Evaluation of deformability of red cells by sieving tests. Hemorrheology539, 539, 1968Google Scholar
  27. 27.
    Gregersen, M.J., Bryant, C.A., Hammerle, W.E., Usami, S., Chien, S.: Flow characteristics of human erythrocytes through polycarbonate sieves. Science157, 825, 1967PubMedCrossRefGoogle Scholar
  28. 28.
    Guest, M., Bond, T., Cooper, R., Derrick, J.: Red blood cells: Change in shape in capillaries. Science142, 1319, 1963PubMedCrossRefGoogle Scholar
  29. 29.
    Johnson, J., Knisely, M.: Intravascular agglutination of the flowing blood following injection of radiopaque contrast media. Neurology (Minneap.) 12, 560, 1962PubMedGoogle Scholar
  30. 30.
    Klose, H., Volger, E., Brechtelsbauer, H., Heinich, L., Schmid-Schönbein, H.: Photometric effects of red cell aggregation and red cell orientation. Pflügers Arch. 333, 126, 1972PubMedCrossRefGoogle Scholar
  31. 31.
    Lasser, E., Farr, R., Fujimagari, T., Tripp, W.: The significance of proteinbinding of contrast media in roentgen diagnosis. Am. J. Roentgenol. Radium Thery. Nucl. Med.87, 338, 1962Google Scholar
  32. 32.
    Lindgard, P.S.: Capillary pore rheology of erythrocytes. I hydroelastic behaviour of human erythrocytes. Microvasc. Res.8, 53, 1974CrossRefGoogle Scholar
  33. 33.
    Lindgard, P.S.: Capillary pore rheology of erythrocytes III. Microvasc. Res.8, 181, 1974CrossRefGoogle Scholar
  34. 34.
    Lindgren, P., Löfström, B., Saltzmann, G.-F.: Intravascular erythrocyte aggregation after intravenous injection of contrast media. Acta Radiol. Diagn. (Stockh.) 2, 334, 1964Google Scholar
  35. 35.
    Margolis, G., Griffin, A.T., Kenan, P.D., Tinall, G.T., Riggins, R., Fort, L.: Contrast medium injury to the spinal cord. The role of altered circulatory dynamics. J. Neurosurg.16, 390, 1959PubMedCrossRefGoogle Scholar
  36. 36.
    McIntosh, H., Hurst, V., Thompson, H., Morris, J., Whalen, R.: The hemodynamic effects of the injection of contrast medium (isopaque). Angiology18, 306, 1967PubMedCrossRefGoogle Scholar
  37. 37.
    Meyer, M., Read, R.C.: Red cell aggregation from concentrated saline and angiographic media. Radiology82, 630, 1964PubMedGoogle Scholar
  38. 38.
    Moore, C., Brown, R.T., Derrick, J.: Experimental effects of selective arteriography on the microcirculation. Rev. Surg.27, 379, 1970PubMedGoogle Scholar
  39. 39.
    Nakao, M., Nakayama, T., Kankura, T.: A new method for separation of human blood components. Nature (New Biol.) 246, 94, 1973CrossRefGoogle Scholar
  40. 40.
    Nathan, D.G., Shohet, S.B.: Erythrocyte ion transport defects and hemolytic anemia. “Hydrocytosis and Desiccocytosis”. Semin. Hematol.7, 381, 1970PubMedGoogle Scholar
  41. 41.
    Peroni, F., Schiantarelli, P., Rosati, G., Tirone, P.: Effects of iodinated contrast media on erythrocytes. II. Effects of some drugs on alterations induced by meglumine acetrizoate. Invest. Radiol.8, 205, 1973PubMedCrossRefGoogle Scholar
  42. 42.
    Ponder, E.: Hemolysis and related phenomena. New York, Grune and Stratton, 1948, p. 138Google Scholar
  43. 43.
    Prothero, J., Burton, A.C.: The Physics of Blood Flow in Capillaries. III. The Pressure Required to Deform Erythrocytes. Biophys. J.2, 213, 1962PubMedCrossRefGoogle Scholar
  44. 44.
    Rand, P., Lacombe, E.: Hemodilution. Tonicity and blood viscosity. J. clin. Invest.43, 2214, 1964PubMedCrossRefGoogle Scholar
  45. 45.
    Read, R.: Cause of death in angiocardiography. J. thorac. cardiovasc. Surg.38, 685, 1959PubMedGoogle Scholar
  46. 46.
    Schiantarelli, P., Peroni, F., Tirone, P., Rosati, G.: Effects of iodinated contrast media on erythrocytes. I. Effects of canine erythrocytes on morphology. Invest. Radiol.8, 199, 1973PubMedCrossRefGoogle Scholar
  47. 47.
    Schmid-Schönbein, H., Wells, R.H.: Rheological properties of human erythrocytes and their influence upon the “anomalous” viscosity of blood. Ergeb. Physiol.63, 146, 1971PubMedCrossRefGoogle Scholar
  48. 48.
    Schmid-Schönbein, H., Wells, R., Goldstone, J.: Influence of deformability of human red cells upon blood viscosity. Circ. Res.25, 131, 1969PubMedGoogle Scholar
  49. 49.
    Schmid-Schönbein, H., Wells, R., Schildkraut, R.: Microscopy and viscometry of blood flowing under uniform shear rate (rheoscope). J. Appl. Physiol.26, 674, 1969Google Scholar
  50. 50.
    Skalak, R., Brånemark, P.-I.: Deformation of red blood cells in capillaries. Science164, 717, 1969PubMedCrossRefGoogle Scholar
  51. 51.
    Sobin, S., Frasher, W.G., Jacobsson, G., Vaneeckhoven, F.A.: Nature of adverse reactions to radiopaque agents. J. Amer. med. Ass.170, 1546, 1959Google Scholar
  52. 52.
    Svoboda, M., Fiala, J.: Über die Beziehung verschiedener positiver Röntgenkontrastmittel zu roten Blutkörperchen. Radiol. Diagn. (Berl.) 1, 336, 1960Google Scholar
  53. 53.
    Svoboda, M., Fiala, J.: Der Einfluß jodierter wasserlöslicher Röntgenkontrastmittel auf die roten Blutkörperchen im Verlauf der Kontrastuntersuchungen. Radiol. Diagn. (Berl.) 5, 207, 1964Google Scholar
  54. 54.
    Svoboda, M., Fiala, J.: Morphologische Veränderungen der roten Blutkörperchen nach verschiedenen wasserlöslichen, jodhaltigen Röntgenkontrastmitteln. Radiologe4, 404, 1964PubMedGoogle Scholar
  55. 55.
    Wiedeman, M.: Influence of low molecular weight dextran on vascular and intravascular responses to contrast media. Amer. J. Roentgenol.92, 682, 1964PubMedGoogle Scholar
  56. 56.
    Wiedeman, M.: Vascular and intravascular responses to various contrast media. Angiology14, 107, 1963CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1978

Authors and Affiliations

  • P. Aspelin
    • 1
    • 2
  • H. Schmid-Schönbein
    • 1
    • 2
  1. 1.Department of PhysiologyUniversity of AachenFederal Republic of Germany
  2. 2.Department of RadiologyUniversity of MalmöSweden

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