Cardiovascular and interventional radiology
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Cardiovasc Intervent Radiol · Mar 2008
Multicenter StudyGadolinium use in spine pain management procedures for patients with contrast allergies: results in 527 procedures.
To review the safety and efficacy of gadolinium in spine pain management procedures in patients at high risk for a contrast reaction and who are not suitable candidates for the use of standard non-ionic contrast. ⋯ Based on our experience we recommend using gadolinium judiciously for needle tip confirmation. We feel more confident using gadolinium in the lumbar spine and in cervical nerve blocks. Gadolinium should probably not be used as an injectate volume expander. The indications for gadolinium use in cervical needle-guided spine procedures are less clear and use of a blunt-tipped needle should be considered.