Comparative clinical study with iotrolan versus metrizamide in lumbar myelography.

S Inoue, T Watanabe, H Yamamura
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Abstract

In order to examine the radiopacity, safety, and usefulness of iotrolan, a new dimeric, nonionic, water-soluble contrast medium for myelography, a multicenter clinical study was performed in lumbar myelography using metrizamide as the reference drug. Both media were injected at a strength of 190 mg I/ml in 90 patients each. Both contrast media showed good opacification; there was no significant difference between the two media. The incidence and severity of side effects were significantly lower with iotrolan than those with metrizamide. No severe side effects, such as convulsion and shock, were observed with either medium.

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碘曲兰与甲咪唑胺用于腰椎造影的临床比较研究。
为了检验碘曲兰(一种新型的二聚体、非离子、水溶性的脊髓造影剂)的放射不透光性、安全性和有效性,一项以甲咪唑胺为参比药物的多中心临床研究在腰椎造影中进行。两种培养基均以190 mg I/ml的强度注射90例。两种造影剂均表现出良好的混浊性;两种媒体间无显著差异。碘曲兰的副作用发生率和严重程度明显低于甲胺唑胺。两种培养基均未见惊厥、休克等严重副作用。
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Recent developments in nonionic contrast media. Renal excretion of iopromide and iopamidol after intravenous administration in digital subtraction angiography. Pharmacokinetics of iohexol, iopamidol, iopromide, and iosimide compared with meglumine diatrizoate. Plasma level and renal excretion of iotrolan after lumbar injection in patients. Left ventricular after load as a result of levocardiography with contrast media of various osmolality.
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