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Related Experiment Videos

Decrease of plasma prekallikrein and kallikrein inhibitors during intravenous phlebography.

H J Aronen1, I Torstila, E Vahtera

  • 1Department of Diagnostic Radiology, Helsinki University Central Hospital, Finland.

European Journal of Radiology
|February 1, 1988
PubMed
Summary
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Intravenous contrast media can activate contact systems, potentially causing side effects. High-osmolality contrast agents significantly decreased plasma prekallikrein, indicating kallikrein-kinin system activation and intrinsic coagulation during phlebography.

Area of Science:

  • Biochemistry
  • Hematology
  • Radiology

Background:

  • Intravenous (IV) contrast media are widely used in medical imaging.
  • Adverse effects associated with IV contrast media are a significant clinical concern.
  • Complex contact activation systems are implicated in the side effects of contrast media.

Purpose of the Study:

  • To investigate the involvement of contact activation systems in the side effects of IV contrast media.
  • To compare the effects of high-osmolality and low-osmolality contrast media on coagulation factors.
  • To assess the activation of the kallikrein-kinin system and intrinsic coagulation post-phlebography.

Main Methods:

  • Quantitative measurements of plasma prekallikrein and other factors were performed before and after IV contrast phlebography.

Related Experiment Videos

  • Two groups of 21 patients each were studied, one receiving high-osmolality meglumine iodamide and the other low-osmolality ioxaglate.
  • Patients with no history of thrombosis were included in the study.
  • Main Results:

    • A statistically significant decrease in plasma prekallikrein was observed following the administration of high-osmolality contrast medium.
    • This decrease in plasma prekallikrein suggests activation of the kallikrein-kinin system.
    • The findings indicate potential activation of the intrinsic coagulation pathway.

    Conclusions:

    • High-osmolality contrast media can activate the kallikrein-kinin system during phlebography.
    • Activation of contact systems, particularly the kallikrein-kinin system, may contribute to adverse effects of contrast media.
    • Further research is warranted to elucidate the precise mechanisms linking contrast media, contact activation, and patient side effects.