In this issue of the Journal, Aspelin et al.1 report findingsfrom a prospective, randomized, double-blind trial that comparediodixanol, a third-generation, iso-osmolar, dimeric, nonioniciodinated contrast agent, with iohexol, a low-osmolar, monomeric,nonionic contrast agent. The use of iodixanol resulted in significantlyfewer nephrotoxic effects in high-risk patients undergoing arteriographythan iohexol did findings that are important becausea beneficial effect of this iso-osmolar agent on renal functionhad not previously been conclusively demonstrated in a randomizedstudy.
Before the late 1960s, all iodinated contrast agents used forradiologic imaging were ionic monomers with an ionizing carboxylgroup . . . [Full Text of this Article]
Source Information
From the Department of Radiology, University of Texas Houston Medical School, Houston.
This article has been cited by other articles:
Mehran, R., Nikolsky, E., Kirtane, A. J., Caixeta, A., Wong, S. C., Teirstein, P. S., Downey, W. E., Batchelor, W. B., Casterella, P. J., Kim, Y.-H., Fahy, M., Dangas, G. D.
(2009). Ionic Low-Osmolar Versus Nonionic Iso-Osmolar Contrast Media to Obviate Worsening Nephropathy After Angioplasty in Chronic Renal Failure Patients: The ICON (Ionic versus non-ionic Contrast to Obviate worsening Nephropathy after angioplasty in chronic renal failure patients) Study. J Am Coll Cardiol Intv
2: 415-421
[Abstract][Full Text]
Heinrich, M. C., Haberle, L., Muller, V., Bautz, W., Uder, M.
(2009). Nephrotoxicity of Iso-osmolar Iodixanol Compared with Nonionic Low-osmolar Contrast Media: Meta-analysis of Randomized Controlled Trials. Radiology
250: 68-86
[Abstract][Full Text]
Downes, M. O., Heinrich, M., Uder, M.
(2006). In vitro study of various iodinated contrast media.. Radiology
239: 918-921
[Full Text]
Tepel, M., Aspelin, P., Lameire, N.
(2006). Contrast-Induced Nephropathy: A Clinical and Evidence-Based Approach. Circulation
113: 1799-1806
[Full Text]
Wysowski, D. K., Nourjah, P.
(2006). Deaths attributed to x-ray contrast media on u.s. Death certificates.. Am. J. Roentgenol.
186: 613-615
[Abstract][Full Text]
Thomsen, H. S.
(2003). Guidelines for Contrast Media from the European Society of Urogenital Radiology. Am. J. Roentgenol.
181: 1463-1471
[Full Text]