Document Detail


High-dose clinical urography with the low-osmolality contrast agent Hexabrix: comparison with a conventional contrast agent.
MedLine Citation:
PMID:  3538156     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A double-blind clinical trial was performed in 60 patients to compare Hexabrix (ioxaglate meglumine and ioxaglate sodium) and Renografin-60 (diatrizoate meglumine and diatrizoate sodium). Use of Hexabrix produced higher urinary iodine concentrations, lower urine volumes at 30 minutes, and excretory urograms significantly better in diagnostic quality, as rated by four independent observers. There was no difference in nephrogram quality between contrast agents. Patients receiving Hexabrix had less of an increase in heart rate and demonstrated a slight rise in mean arterial blood pressure, rather than the biphasic rise then fall seen with Renografin-60. There was no significant change for up to 96 hours after urography in results of hematology, clinical chemistry, or urinalysis, except for an increase of 0.005 in urine specific gravity with Renografin-60. Patients reported significantly less body heat, heat in the injection arm, and overall discomfort with Hexabrix. There was a similar amount of nausea and vomiting in the two groups. Hexabrix also caused histaminic-type reactions in three patients.
Authors:
R F Spataro; R W Katzberg; H W Fischer; M J McMannis
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Radiology     Volume:  162     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1987 Jan 
Date Detail:
Created Date:  1987-01-21     Completed Date:  1987-01-21     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  9-14     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Blood Pressure / drug effects
Clinical Trials as Topic
Diatrizoate* / administration & dosage,  adverse effects,  pharmacology
Diatrizoate Meglumine* / administration & dosage,  adverse effects,  pharmacology
Drug Combinations / administration & dosage,  adverse effects,  pharmacology
Female
Humans
Iodine / urine
Ioxaglic Acid* / administration & dosage,  adverse effects,  pharmacology
Male
Middle Aged
Osmolar Concentration
Urography*
Chemical
Reg. No./Substance:
0/Drug Combinations; 117-96-4/Diatrizoate; 131-49-7/Diatrizoate Meglumine; 59017-64-0/Ioxaglic Acid; 7553-56-2/Iodine; 8064-12-8/urovision

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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