Files
Document type
ArticleVersion
Accepted versionPublication date
Publication license
Please use this identifier to cite or link to this item: https://hdl.handle.net/2445/182920
Topical treatment of tissue damage due to extravasation of iodated contrast using thermal compresses
Journal Title
Director/Tutor
Journal ISSN
Volume Title
Related resource
Abstract
Objective: To study the effectiveness of the topical application of dry cold or dry hot compresses in the treatment of non-ionic iodinated contrast extravasation injury. Methods: A multicenter, consecutive, non-probabilistic experimental clinical trial was carried out between June 2017 and September 2020. The study included patients with extravasation of non-ionic iodinated contrast, administered through an injector pump during a computed tomography procedure. In the experimental group, a dry heat pack was applied in the first hour of treatment followed by a dry cold pack; the control group received only the cold pack. The size of the extravasation, pain, details of contrast administration, anthropomorphic data and the patient's clinical history were recorded. Follow-up was carried out at 24h. Results: 65 patients were included, of which 32 were treated with cold pack only and 33 with heat and cold. In those receiving heat treatment, 30 (90.9%) patients had complete resolution, while those with cold treatment only had complete resolution in 13 (40.6%); p<0.001 and odds ratio 14.6 (95% CI 3.7-58.1). With the initial application of dry heat, local inflammation improved by 1.2% more than in those with dry cold treatment only. Conclusions: The application of dry heat during the first hour of treatment was more effective, by more than 50 percentage points, at diffusing contrast and modulating the inflammatory process.
Subject (English)
Citation
Citation
ROCA-SARSANEDAS, Jaume, et al. Topical treatment of tissue damage due to extravasation of iodated contrast using thermal compresses. Journal of Tissue Viability. 2022. Vol. 31, num. 1, pags. 135-141. ISSN 0965-206X. [consulted: 8 of June of 2026]. Available at: https://hdl.handle.net/2445/182920