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Radiology, Vol 187, 257-259, Copyright © 1993 by Radiological Society of North America

ARTICLES

Incompatibility of Isovue 370 and papaverine in peripheral arteriography

TM Pallan, IA Wulkan, AR Abadir, L Flores, MR Chaudhry and J Gintautas
Department of Radiology, Brookdale Hospital Medical Center, New York, NY 11212.

Complete thrombotic occlusion of the arterial blood flow in the upper extremity was produced after mixture of Isovue 370 (iopamidol) and papaverine hydrochloride during routine angiography. Bolus and then continuous infusion of urokinase failed to dissolve the thrombus. The patient required a surgical thrombectomy and recovered uneventfully. This case report demonstrates that caution should be exercised when Isovue 370 and papaverine are used in angiography.




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