Hemodynamic tolerance of intravascular contrast agents for magnetic resonance imaging

Friedrich D Knollmann, Robert Sorge, Andreas Mühler, Jürgen Mäurer, Peter Muschick, Johannes C. Böck, Roland Felix

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

RATIONALE AND OBJECTIVES. Intravascular contrast agents for magnetic resonance imaging (MRI) facilitate the quantification of tissue perfusion. The authors determined the hemodynamic tolerance of these agents. METHODS. Doses of 0.05, 0.15, and 0.45 mmol/kg of the polymeric intravascular contrast agent gadolinium-DTPA-polylysine, and di-nitrobenzyl-gadolinium-DTPA, a non- polymeric intravascular contrast agent with high protein binding, and gadolinium-DTPA dimeglumine, a paramagnetic contrast agent with extracellular distribution, were injected into 18 normal male rats as a peripheral intravenous bolus. Systolic, diastolic, and mean blood pressure, left ventricular end-diastolic and developed pressure, positive rate of pressure change (+dP/dt), dP/dt, the rate-pressure product, and heart rate were recorded during a period of 20 minutes. Hemodynamic effects were established by analysis of variance for repeated measurements. RESULTS. There was a transient increase of all blood pressure parameters and contractility for Gd- DTPA-polylysine at the dose of 0.45 mmol/kg only. Di-nitrobenzyl-Gd-DTPA increased blood pressure parameters at 0.45 mmol/kg only. At doses of 0.05 and 0.15 mmol/kg, no significant hemodynamic effects were observed. CONCLUSIONS. The authors conclude that Gd-DTPA-polylysine is hemodynamically safe at doses to 0.15 mmol/kg and acts like a plasma expander at higher doses after peripheral bolus injection in normal rats. Additional investigations are indicated to elucidate the mechanism of a nonsignificant and satiable transient hemodynamic depression after injection of 0.05 mmol/kg DNB-Gd- DTPA.

Original languageEnglish (US)
Pages (from-to)755-762
Number of pages8
JournalInvestigative Radiology
Volume32
Issue number12
DOIs
StatePublished - Dec 1997
Externally publishedYes

Keywords

  • Contrast agents
  • Hemodynamics
  • Magnetic resonance imaging
  • Side effects

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

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