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Short-, Mid-, and Long-term Strategies to Manage the Shortage of Iohexol
Thomas M Grist1, Cheri L Canon1, Elliot K Fishman1
1From the Department of Radiology, University of Wisconsin School of Medicine and Public Health, 600 Highland Ave, Madison, WI 53792 (T.M.G.); Department of Radiology, University of Alabama-Birmingham, Birmingham, Ala (C.L.C.); Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University, Baltimore, Md (E.K.F.); and Department of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, NC (M.P.K., M.M.B.).
Abstract:
The recent iohexol shortage has precipitated disruptions in a pharmaceutical supply chain critical to radiologic imaging and has impacted global availability of iodinated contrast media (ICM). The shortage has created a national crisis in radiology departments, curtailing their ability to provide health care to patients who need contrast-enhanced examinations. Radiology departments are familiar with crisis management after more than 2 years of clinical and operational disruptions associated with the COVID-19 pandemic. The iohexol and subsequent ICM shortage has short-term (weeks), midterm (months), and long-term (years) implications. The purpose of this report is to provide strategies for dealing with the shortage in the near term and to discuss long-term issues and potential solutions to supply chain problems impacting radiology departments.
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