Monolateral sialadenitis following iodinated contrast media administration for carotid artery stenting.

Abstract

We describe the occurrence of monolateral aseptic sialadenitis following non-iodinated contrast medium (ICM) administration for a carotid artery stenting procedure in a 71-year-old man. The mechanism for iodide-induced sialadenitis may be idiosyncratic or related to toxic accumulation of iodide. The risk for sialadenitis is directly related to serum iodide levels (> 10 mg/100 mL) and inversely related to normal renal function so that in renal impairment, ICM can be eliminated through alternative pathways such as the salivary glands and other excretory organs.

• Authors: Laura Capoccia, Enrico Sbarigia, Francesco Speziale
• Journal: Vascular (Vascular) 2010 Jan-Feb Vol. 18 Issue 1 Pg. 34-6 ISSN: 1708-5381 [Print] England
• PMID: 20122358 (Publication Type: Case Reports, Journal Article)

Chemical References

• Contrast Media
• Steroids
• iomeprol
• Iopamidol

Topics

• Aged
• Angioplasty (instrumentation)
• Carotid Stenosis (diagnostic imaging, therapy)
• Contrast Media (adverse effects)
• Humans
• Iopamidol (adverse effects, analogs & derivatives)
• Male
• Radiography
• Severity of Illness Index
• Sialadenitis (chemically induced, drug therapy)
• Stents
• Steroids (therapeutic use)