Jaspreet Kaur Bisla MD, Presenter: Nothing to Disclose

Jeanne Miriam Horowitz MD, Abstract Co-Author: Nothing to Disclose

Frank H. Miller MD, Abstract Co-Author: Nothing to Disclose

Carla Branco Harmath MD, Abstract Co-Author: Nothing to Disclose

Nancy A. Hammond MD, Abstract Co-Author: Nothing to Disclose

Vahid Yaghmai MD, Abstract Co-Author: Nothing to Disclose

1. Review the types of contrast reactions (allergic-like and physiologic reactions to intravascular iodinated contrast) 2. Describe the symptoms of contrast reactions unique to pregnant patient 3. Review management guidelines for contrast reactions in pregnant patients, with attention to medications administered and what to do in case of anyphylaxis.  

1.  Types of contrast (HOCM, LOCM,GBCM) media and its physical properties 2.  Types of contrast reactions      a. Allergic-like      b. Physiologic 3.  Pathophysiology/ mechanism of reactions 4.  Presentation of contrast reaction in pregnancy      a. Typical presentations      b. Contrast reaction symptoms unique in pregnancy         i. i.e. uterine cramping, low back pain, vulvar itching and others 5.  Management of reactions in pregnancy, with attention to medications      a. Mild and Moderate      b. Severe-Anaphylaxis        i.  Epinephrine in pregnancy        ii. Left lateral decubitus positioning to decompress IVC        iii. Keep systolic blood pressure >90 mmHg 6.  Premedicating pregnant patients with a known contrast allergy      a. Indications for and imaging alternatives to contrast-enhanced CT in pregnancy      b. Benadryl- Class B      c. Prednisone- Class C 7.  Multidisciplinary team in planning imaging and treating reactions  

http://abstract.rsna.org/uploads/2014/14009614/14009614_9fe2.pdf

Bisla, J, Horowitz, J, Miller, F, Harmath, C, Hammond, N, Yaghmai, V, Treating for Two? How to Manage Contrast Reactions in Pregnant Patients.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14009614.html