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Pharmacologics
Chad Davis, MD; Brandt C. Wible, MD
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KEY FACTS

  • Terminology

    • Preprocedure

      • Procedure

        • Post Procedure

          PREPROCEDURE

          • General Medication Guidelines

            • Analgesia/Pain Management

              • Antibiotics

                • Anticoagulant/Antiplatelet

                  • Anxiolysis/Sedation

                    • Blood Glucose Management

                      • Blood Pressure Management

                        • Blood Products and Volume Resuscitation

                          • Contrast Reaction Management

                            • Contrast Reaction Pretreatment

                              • Gastrointestinal

                                • Heart Rate Management

                                  • Hyperkalemia Management

                                    • Local Anesthesia

                                      • Miscellaneous

                                        • Reversal Agents

                                          • Sclerosants

                                            • Vasospasm Management

                                              Selected References

                                              1. American College of Radiology Manual on Contrast Media 2021. https://www.acr.org/-/media/ACR/files/clinical-resources/contrast_media.pdf. Accessed Feb 2022
                                              2. Romagnoli S et al: CIRSE Standards of Practice on Analgesia and Sedation for Interventional Radiology in Adults. Cardiovasc Intervent Radiol. 43(9):1251-60, 2020
                                              3. Davidson JC et al: Society of Interventional Radiology Consensus Guidelines for the Periprocedural Management of Thrombotic and Bleeding Risk in Patients Undergoing Percutaneous Image-Guided Interventions-Part I: Review of Anticoagulation Agents and Clinical Considerations: Endorsed by the Canadian Association for Interventional Radiology and the Cardiovascular and Interventional Radiological Society of Europe. J Vasc Interv Radiol. 30(8):1155-67, 2019
                                              4. Patel IJ et al: Society of Interventional Radiology Consensus Guidelines for the Periprocedural Management of Thrombotic and Bleeding Risk in Patients Undergoing Percutaneous Image-Guided Interventions-Part II: Recommendations: Endorsed by the Canadian Association for Interventional Radiology and the Cardiovascular and Interventional Radiological Society of Europe. J Vasc Interv Radiol. 30(8):1168-84.e1, 2019
                                              5. Chehab MA et al: Adult and pediatric antibiotic prophylaxis during vascular and ir procedures: a Society of Interventional Radiology practice parameter update endorsed by the Cardiovascular and Interventional Radiological Society of Europe and the Canadian Association for Interventional Radiology. J Vasc Interv Radiol. 29(11):1483-501.e2, 2018
                                              6. American College of Radiology Manual on Contrast Media. V10.2 https://www.acr.org/quality-safety/resources/contrast-manual. Reviewed March 28, 2017. Accessed March 28, 2017
                                              7. American College of Radiology Manual on Contrast Media V10.2 2016. https://www.acr.org/~/media/ACR/Documents/PDF/QualitySafety/Resources/Contrast-Manual/2016_Contrast_Media.pdf?la=en. Accessed 2016
                                              8. Tarascon Publishing. Tarascon Pocket Pharmacopoeia. 2016 professional desk reference ed. Tarascon Pub, 2016
                                              9. DeAngelis GA et al: Bleeding risk and management in interventional procedures in chronic liver disease. J Vasc Interv Radiol. 27(11):1665-74, 2016
                                              10. Ul Haq F et al: Bleomycin foam treatment of venous malformations: a promising agent for effective treatment with minimal swelling. J Vasc Interv Radiol. 26(10):1484-93, 2015
                                              11. Olsen JW et al: Moderate sedation: what radiologists need to know. AJR Am J Roentgenol. 201(5):941-6, 2013
                                              12. Albanese G et al: Pharmacology of sclerotherapy. Semin Intervent Radiol. 27(4):391-9, 2010
                                              13. Venkatesan AM et al: Practice guidelines for adult antibiotic prophylaxis during vascular and interventional radiology procedures. Written by the Standards of Practice Committee for the Society of Interventional Radiology and Endorsed by the Cardiovascular Interventional Radiological Society of Europe and Canadian Interventional Radiology Association [corrected]. J Vasc Interv Radiol. 21(11):1611-30; quiz 1631, 2010
                                              14. Pavlidakey PG et al: Diphenhydramine as an alternative local anesthetic agent. J Clin Aesthet Dermatol. 2(10):37-40, 2009
                                              15. Hatsiopoulou O et al: Postprocedure pain management of interventional radiology patients. J Vasc Interv Radiol. 14(11):1373-85, 2003
                                              16. Martin ML et al: Sedation and analgesia in the interventional radiology department. J Vasc Interv Radiol. 14(9 Pt 1):1119-28, 2003
                                              17. American Association of Blood Banks Circular of Information for the Use of Human Blood and Blood Components. http://www.aabb.org/tm/coi/Documents/coi1113.pdf.
                                              Related Anatomy
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                                              Related Differential Diagnoses
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                                              References
                                              Tables

                                              Tables

                                              KEY FACTS

                                              • Terminology

                                                • Preprocedure

                                                  • Procedure

                                                    • Post Procedure

                                                      PREPROCEDURE

                                                      • General Medication Guidelines

                                                        • Analgesia/Pain Management

                                                          • Antibiotics

                                                            • Anticoagulant/Antiplatelet

                                                              • Anxiolysis/Sedation

                                                                • Blood Glucose Management

                                                                  • Blood Pressure Management

                                                                    • Blood Products and Volume Resuscitation

                                                                      • Contrast Reaction Management

                                                                        • Contrast Reaction Pretreatment

                                                                          • Gastrointestinal

                                                                            • Heart Rate Management

                                                                              • Hyperkalemia Management

                                                                                • Local Anesthesia

                                                                                  • Miscellaneous

                                                                                    • Reversal Agents

                                                                                      • Sclerosants

                                                                                        • Vasospasm Management

                                                                                          Selected References

                                                                                          1. American College of Radiology Manual on Contrast Media 2021. https://www.acr.org/-/media/ACR/files/clinical-resources/contrast_media.pdf. Accessed Feb 2022
                                                                                          2. Romagnoli S et al: CIRSE Standards of Practice on Analgesia and Sedation for Interventional Radiology in Adults. Cardiovasc Intervent Radiol. 43(9):1251-60, 2020
                                                                                          3. Davidson JC et al: Society of Interventional Radiology Consensus Guidelines for the Periprocedural Management of Thrombotic and Bleeding Risk in Patients Undergoing Percutaneous Image-Guided Interventions-Part I: Review of Anticoagulation Agents and Clinical Considerations: Endorsed by the Canadian Association for Interventional Radiology and the Cardiovascular and Interventional Radiological Society of Europe. J Vasc Interv Radiol. 30(8):1155-67, 2019
                                                                                          4. Patel IJ et al: Society of Interventional Radiology Consensus Guidelines for the Periprocedural Management of Thrombotic and Bleeding Risk in Patients Undergoing Percutaneous Image-Guided Interventions-Part II: Recommendations: Endorsed by the Canadian Association for Interventional Radiology and the Cardiovascular and Interventional Radiological Society of Europe. J Vasc Interv Radiol. 30(8):1168-84.e1, 2019
                                                                                          5. Chehab MA et al: Adult and pediatric antibiotic prophylaxis during vascular and ir procedures: a Society of Interventional Radiology practice parameter update endorsed by the Cardiovascular and Interventional Radiological Society of Europe and the Canadian Association for Interventional Radiology. J Vasc Interv Radiol. 29(11):1483-501.e2, 2018
                                                                                          6. American College of Radiology Manual on Contrast Media. V10.2 https://www.acr.org/quality-safety/resources/contrast-manual. Reviewed March 28, 2017. Accessed March 28, 2017
                                                                                          7. American College of Radiology Manual on Contrast Media V10.2 2016. https://www.acr.org/~/media/ACR/Documents/PDF/QualitySafety/Resources/Contrast-Manual/2016_Contrast_Media.pdf?la=en. Accessed 2016
                                                                                          8. Tarascon Publishing. Tarascon Pocket Pharmacopoeia. 2016 professional desk reference ed. Tarascon Pub, 2016
                                                                                          9. DeAngelis GA et al: Bleeding risk and management in interventional procedures in chronic liver disease. J Vasc Interv Radiol. 27(11):1665-74, 2016
                                                                                          10. Ul Haq F et al: Bleomycin foam treatment of venous malformations: a promising agent for effective treatment with minimal swelling. J Vasc Interv Radiol. 26(10):1484-93, 2015
                                                                                          11. Olsen JW et al: Moderate sedation: what radiologists need to know. AJR Am J Roentgenol. 201(5):941-6, 2013
                                                                                          12. Albanese G et al: Pharmacology of sclerotherapy. Semin Intervent Radiol. 27(4):391-9, 2010
                                                                                          13. Venkatesan AM et al: Practice guidelines for adult antibiotic prophylaxis during vascular and interventional radiology procedures. Written by the Standards of Practice Committee for the Society of Interventional Radiology and Endorsed by the Cardiovascular Interventional Radiological Society of Europe and Canadian Interventional Radiology Association [corrected]. J Vasc Interv Radiol. 21(11):1611-30; quiz 1631, 2010
                                                                                          14. Pavlidakey PG et al: Diphenhydramine as an alternative local anesthetic agent. J Clin Aesthet Dermatol. 2(10):37-40, 2009
                                                                                          15. Hatsiopoulou O et al: Postprocedure pain management of interventional radiology patients. J Vasc Interv Radiol. 14(11):1373-85, 2003
                                                                                          16. Martin ML et al: Sedation and analgesia in the interventional radiology department. J Vasc Interv Radiol. 14(9 Pt 1):1119-28, 2003
                                                                                          17. American Association of Blood Banks Circular of Information for the Use of Human Blood and Blood Components. http://www.aabb.org/tm/coi/Documents/coi1113.pdf.