RT Book, Section
A1 Ritter, Kathryn
A1 Fitch, Robert Warne
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181043710
T1 Contrast Extravasation
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181043710
RD 2024/04/16
AB Extravasation  of  IV  contrast  material  into  surrounding  soft  tissues  is  reported  in  only  0.5%  of  CT  scans.  When  this  occurs,  patients  may  develop  erythema,  ecchymosis,  blistering,  and  swelling  of  the  affected  site.  If  the  volume  of  extravasated  contrast  material  is  greater  than  50  mL,  patients  are  at  increased  risk  for  serious  complications  including  skin  ulceration  or  necrosis.  Compartment  syndrome  is  the  most  feared  sequela;  it  is  important  to  monitor  these  patients  for  pain  out  of  proportion  on  exam,  paresthesias,  poikilothermia,  pallor,  paralysis,  or  pulselessness.