Page last updated: 2024-10-29

iohexol and Peripheral Arterial Disease

iohexol has been researched along with Peripheral Arterial Disease in 7 studies

Iohexol: An effective non-ionic, water-soluble contrast agent which is used in myelography, arthrography, nephroangiography, arteriography, and other radiographic procedures. Its low systemic toxicity is the combined result of low chemotoxicity and low osmolality.
iohexol : A benzenedicarboxamide compound having N-(2,3-dihydroxypropyl)carbamoyl groups at the 1- and 3-positions, iodo substituents at the 2-, 4- and 6-positions and an N-(2,3-dihydroxypropyl)acetamido group at the 5-position.

Peripheral Arterial Disease: Lack of perfusion in the EXTREMITIES resulting from atherosclerosis. It is characterized by INTERMITTENT CLAUDICATION, and an ANKLE BRACHIAL INDEX of 0.9 or less.

Research Excerpts

ExcerptRelevanceReference
" This presented a management challenge as the patient had experienced 2 episodes of delayed anaphylaxis to Omnipaque (iohexol) RCM, and based on a literature review, there was no known or established precedent on a safe procedure in these situations."7.88Successful Graded Dose Challenge to Iodixanol Radiocontrast Media in a Patient With Delayed Anaphylaxis to Iohexol. ( Cohen, B; Edelman, D; Garg, K; Jariwala, S; Soffer, G; Toh, J, 2018)
"Paclitaxel has several chemical properties, which make it ideal for local drug delivery including its hydrophobicity, ability to concentrate into the arterial intima layer and prolonged effect on cells even after brief exposure periods."6.52Local delivery of paclitaxel in the treatment of peripheral arterial disease. ( Lansky, AJ; Mena, C; Ng, VG; Pietras, C, 2015)
" This presented a management challenge as the patient had experienced 2 episodes of delayed anaphylaxis to Omnipaque (iohexol) RCM, and based on a literature review, there was no known or established precedent on a safe procedure in these situations."3.88Successful Graded Dose Challenge to Iodixanol Radiocontrast Media in a Patient With Delayed Anaphylaxis to Iohexol. ( Cohen, B; Edelman, D; Garg, K; Jariwala, S; Soffer, G; Toh, J, 2018)
"Paclitaxel has several chemical properties, which make it ideal for local drug delivery including its hydrophobicity, ability to concentrate into the arterial intima layer and prolonged effect on cells even after brief exposure periods."2.52Local delivery of paclitaxel in the treatment of peripheral arterial disease. ( Lansky, AJ; Mena, C; Ng, VG; Pietras, C, 2015)
"Contrast-induced encephalopathy (CIE) is a rare complication of angiography."1.48Contrast-induced encephalopathy after percutaneous peripheral intervention. ( Ağca, M; Çakmak, EÖ; Geçmen, Ç; İzgi, İA; Kahyaoğlu, M, 2018)

Research

Studies (7)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's6 (85.71)24.3611
2020's1 (14.29)2.80

Authors

AuthorsStudies
Patel, A1
Irani, FG1
Pua, U1
Tay, KH1
Chong, TT1
Leong, S1
Chan, ES1
Tan, GWL1
Burgmans, MC1
Zhuang, KD1
Quek, LHH1
Kwan, J1
Damodharan, K1
Gogna, A1
Tan, BP1
Too, CW1
Chan, SXJM1
Chng, SP1
Yuan, W1
Tan, BS1
Soffer, G1
Cohen, B1
Toh, J1
Edelman, D1
Garg, K1
Jariwala, S1
Kahyaoğlu, M1
Ağca, M1
Çakmak, EÖ1
Geçmen, Ç1
İzgi, İA1
Serhal, A1
Koktzoglou, I1
Edelman, RR1
Ng, VG1
Mena, C1
Pietras, C1
Lansky, AJ1
Kendrick, DE1
Allemang, MT1
Gosling, AF1
Nagavalli, A1
Kim, AH1
Nishino, S1
Parikh, SA1
Bezerra, HG1
Kashyap, VS1
Masuda, T1
Funama, Y1
Nakaura, T1
Imada, N1
Sato, T1
Okimoto, T1
Awai, K1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Randomized Controlled Trial of MAGIcTouch - Sirolimus Coated BALloon Versus Standard Balloon Angioplasty in The Treatment of Below The Knee Arterial Disease[NCT06182397]368 participants (Anticipated)Interventional2024-01-15Not yet recruiting
A Randomized Trial Comparing the Drug-Eluting Stent (DES) Below-the-Knee (BTK) Vascular Stent System (DES BTK Vascular Stent System) vs Percutaneous Transluminal Angioplasty (PTA) Treating Infrapopliteal Lesions in Subjects With Critical Limb Ischemia[NCT03551496]Phase 3201 participants (Actual)Interventional2018-08-31Active, not recruiting
Optical Imaging Measurement of Intravascular Solution Efficacy Trial[NCT01743872]23 participants (Actual)Interventional2012-09-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Participants Free From Major Adverse Events (MAE)

The primary safety endpoint assesses freedom from major adverse events (MAE) at 12 months post-procedure. (MAE is defined as: above ankle amputation in index limb; major re-intervention; and perioperative (30 day) mortality) (NCT03551496)
Timeframe: 12 months

InterventionParticipants (Count of Participants)
DES BTK109
Conventional PTA61

Number of Participants Who Were Admitted to the Hospital Within 30 Days After the Index Procedure.

Hospitalizations related to Critical Limb Ischemia (CLI) due to target lesion revascularization (TLR)/target vessel revascularization (TVR) or Target Limb Major Amputation or Procedure/Device related Adverse Events (NCT03551496)
Timeframe: Up to 30 days post procedure

InterventionParticipants (Count of Participants)
DES BTK2
Conventional PTA3

Number of Participants With Assisted Primary Patency

Assisted primary patency defined as the percentage (%) of lesions without clinically-driven TLR and those with clinically-driven TLR (not due to complete occlusion or by-pass) which show flow by DUS without restenosis. (NCT03551496)
Timeframe: 12 months post procedure

InterventionParticipants (Count of Participants)
DES BTK75
Conventional PTA41

Number of Participants With Baseline Wounds Assessed as Healed

Wounds assessed for healed status by Independent Wound Assessors, blinded to randomized treatment. (NCT03551496)
Timeframe: 12 months post procedure

InterventionParticipants (Count of Participants)
DES BTK34
Conventional PTA15

Number of Participants With Clinically Driven Target Lesion Revascularization

"Clinically-driven target lesion revascularization is defined as any surgical or percutaneous intervention to the target lesion after the index procedure if:~Occurring within 5mm proximal or distal to the original treatment segment with diameter stenosis ≥50% by quantitative angiography and if participant has recurrent symptoms OR~In-lesion diameter stenosis less than 50% might also be considered a MAE by the CEC if the subject has recurrent symptoms.~Recurrent symptoms are defined as having ≥ 1 change in Rutherford Classification or associated with decreased ABI/TBI of ≥20% or ≥ 0.15 in the treated segment." (NCT03551496)
Timeframe: 12 months post procedure

InterventionParticipants (Count of Participants)
DES BTK21
Conventional PTA10

Number of Participants With Hemodynamic Improvement

Hemodynamic improvement is defined as improvement of ankle-brachial index (ABI) by ≥0.10 or to an ABI ≥0.90 as compared to pre-procedure value without the need for repeat revascularization. (NCT03551496)
Timeframe: 12 months post procedure

InterventionParticipants (Count of Participants)
DES BTK59
Conventional PTA28

Number of Participants With Major Amputation (Defined as Amputation of the Lower Limb at the Ankle Level or Above)

Rates of amputation of the lower limb at the ankle level or above (NCT03551496)
Timeframe: 12 months post procedure

InterventionParticipants (Count of Participants)
DES BTK3
Conventional PTA1

Number of Participants With Primary Patency

Twelve-Month Primary Patency defined as a binary endpoint to be determined via duplex ultrasound (DUS) measuring flow at the 12-month follow-up visit, in the absence of clinically-driven target lesion revascularization (TLR) or bypass of the target lesion. Data table consists of the number of participants with flow as assessed by DUS. (NCT03551496)
Timeframe: 12 months

InterventionParticipants (Count of Participants)
DES BTK70
Conventional PTA38

Number of Participants With Rate of Primary Sustained Clinical Improvement as Assessed by Changes in Rutherford Classification From Baseline

"Endpoint determined to be a success when there is an improvement in Rutherford Classification of one or more categories as compared to pre-procedure without the need for repeat TLR. Rutherford Classifications:~i. Category 0 - Asymptomatic ii. Category 1 - Mild claudication iii. Category 2 - Moderate claudication iv. Category 3 - Severe claudication v. Category 4 - Ischemic rest pain vi. Category 5 - Minor tissue loss - nonhealing ulcer, focal gangrene vii. Category 6 - Major tissue loss - extending above transmetatarsal (TM) level" (NCT03551496)
Timeframe: 12 months post procedure

InterventionParticipants (Count of Participants)
DES BTK80
Conventional PTA36

Number of Participants With Major, Serious, Non-serious, Unanticipated, Device-related and Procedure-related Adverse Events

Adverse events (AEs) to be classified as major (defined as above ankle amputation of the index limb, major re-intervention (new bypass graft, jump/interposition graft, or thrombectomy/thrombolysis) and perioperative (30 day) mortality), serious, non-serious, unanticipated, procedure-related and device-related. (NCT03551496)
Timeframe: 12 months post procedure

,
InterventionParticipants (Count of Participants)
SeriousNon seriousMajorUnanticipatedDevice-RelatedProcedure-Related
Conventional PTA513730616
DES BTK82841001621

Participant Quality-of-Life Changes Via EuroQol 5 Dimension (EQ-5D) Questionnaire.

The EQ-5D is a descriptive system of health-related quality-of-life states consisting of 5 dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) each of which can take 1 of 5 responses. The responses record 5 levels of severity (no problems/slight problems/moderate problems/severe problems/extreme problems) within a particular EQ-5D dimension). The levels are assigned a numeric code 1-5 (eg, 1= no problems and 5= extreme problems). (NCT03551496)
Timeframe: 12 months post procedure

,
InterventionParticipants (Count of Participants)
Mobility ImprovementSelf-Care ImprovementUsual Activities ImprovementPain/Discomfort ImprovementAnxiety/Depression Improvement
Conventional PTA168171812
DES BTK4019324828

Participant Quality-of-Life Changes Via Vascular Quality of Life (VascuQol) Questionnaire.

Changes in quality of life is measured using the Vascular Quality of Life (VascuQol) questionnaire, which is a 25 item questionnaire used to measure the quality-of-life in patients with lower limb ischemia. The tool is sub-divided into 5 domains: pain, symptoms, activities, social and emotional. (NCT03551496)
Timeframe: 12 months post procedure

,
InterventionParticipants (Count of Participants)
Improvement in pain in leg (or foot) when walkingImprovement in worried that I might injure my legImprovement in cold feet have givenImprovement in ability to exercise or to play sportsImprovement in legs felt tired or weakImprovement in restricted in spending time with friends or relativesImprovement in pain in the foot (or leg) after going to bed at nightImprovement in pins and needles or numbness in leg (or foot) have causedImprovement in the distance I can walk has improvedImprovement in ability to walkImprovement in being (or becoming) housebound has concernedImprovement in concerned about having poor circulation in legsImprovement in pain in the foot (or leg) when restingImprovement in ability to climb stairsImprovement in ability to participate in social activitiesImprovement in ability to do routine household workImprovement in ulcers or sores on my leg (or foot) caused pain or distressImprovement in the range of activities that would have liked to doImprovement in problems caused by poor circulation made feel frustratedImprovement in pain in the leg (or foot) givenImprovement in felt guilty about relying on friends or relativesImprovement in ability to go shopping or carry bagsImprovement in worried in danger of losing a part of leg or footImprovement in distance I can walk became lessImprovement in depressed about the poor circulation in legs
Conventional PTA27212621261831261725282631202322152629302821282528
DES BTK61425056554458533959426867474954455860634750584857

Quality of Images

The metric of image quality was the clear imaging field (CIF), which was defined as a cross section in which ≥270° of the vessel wall architecture was visualized. This has been used previously to quantify adequacy of clearance in OCT image comparison. Two independent observers, blinded to the flush medium used, analyzed all OCT frames in each pullback sequence. Any disagreement >10% was resolved with a consensus re-evaluation at a later time point by the same reviewers. Each individual cross section was assigned a designation of quality or insufficient quality; thus, a quality image proportion was generated for each run by taking the mean of each observer's determinations (NCT01743872)
Timeframe: 1 month

InterventionClear imaging field (CIF) proportion (Mean)
Contrast Injection.702
Dextran Injection.872
CO2 Injection.10
Heparinized Saline.743

Superficial Femoral Artery Plaque Composition by Flush Medium

(NCT01743872)
Timeframe: 1 month

,,,
Interventionpercentage of plaque composition (Number)
Fibrotic, %Calcific, %Lipid, %Normal, %
Contrast Injection57.96.99.124.4
Dextran Injection62.15.56.325.6
Heparinized Saline63.05.46.522.9
Overall61.06.07.324.3

Reviews

1 review available for iohexol and Peripheral Arterial Disease

ArticleYear
Local delivery of paclitaxel in the treatment of peripheral arterial disease.
    European journal of clinical investigation, 2015, Volume: 45, Issue:3

    Topics: Angioplasty, Balloon; Clinical Trials as Topic; Drug Evaluation, Preclinical; Drug-Eluting Stents; G

2015

Trials

2 trials available for iohexol and Peripheral Arterial Disease

ArticleYear
Randomized Controlled Trial Comparing Drug-coated Balloon Angioplasty versus Conventional Balloon Angioplasty for Treating Below-the-Knee Arteries in Critical Limb Ischemia: The SINGA-PACLI Trial.
    Radiology, 2021, Volume: 300, Issue:3

    Topics: Angiography; Angioplasty, Balloon; Contrast Media; Double-Blind Method; Drug Delivery Systems; Femal

2021
Dextran or Saline Can Replace Contrast for Intravascular Optical Coherence Tomography in Lower Extremity Arteries.
    Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists, 2016, Volume: 23, Issue:5

    Topics: Aged; Carbon Dioxide; Contrast Media; Dextrans; Endovascular Procedures; Feasibility Studies; Female

2016

Other Studies

4 other studies available for iohexol and Peripheral Arterial Disease

ArticleYear
Successful Graded Dose Challenge to Iodixanol Radiocontrast Media in a Patient With Delayed Anaphylaxis to Iohexol.
    Vascular and endovascular surgery, 2018, Volume: 52, Issue:1

    Topics: Aged, 80 and over; Anaphylaxis; Angiography; Anti-Allergic Agents; Contrast Media; Drug Administrati

2018
Contrast-induced encephalopathy after percutaneous peripheral intervention.
    Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir, 2018, Volume: 46, Issue:2

    Topics: Aged; Angiography; Blindness; Brain Diseases; Contrast Media; Humans; Iohexol; Male; Peripheral Arte

2018
Feasibility of Image Fusion for Concurrent MRI Evaluation of Vessel Lumen and Vascular Calcifications in Peripheral Arterial Disease.
    AJR. American journal of roentgenology, 2019, Volume: 212, Issue:4

    Topics: Aged; Aged, 80 and over; Computed Tomography Angiography; Contrast Media; Feasibility Studies; Femal

2019
CT Angiography of Suspected Peripheral Artery Disease: Comparison of Contrast Enhancement in the Lower Extremities of Patients Undergoing and Those Not Undergoing Hemodialysis.
    AJR. American journal of roentgenology, 2017, Volume: 208, Issue:5

    Topics: Aged; Ankle Brachial Index; Computed Tomography Angiography; Contrast Media; Female; Humans; Iohexol

2017