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For: Saade C, Brennan P. Clinical Implementation of the New MEDRAD XDS Contrast Extravasation Detector for Multidetector Computed Tomography. J Med Imaging Radiat Sci 2011;42:179-182. [PMID: 31051812 DOI: 10.1016/j.jmir.2011.05.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2010] [Revised: 05/05/2011] [Accepted: 05/09/2011] [Indexed: 10/18/2022]

For:	Saade C, Brennan P. Clinical Implementation of the New MEDRAD XDS Contrast Extravasation Detector for Multidetector Computed Tomography. J Med Imaging Radiat Sci 2011;42:179-182. [PMID: 31051812 DOI: 10.1016/j.jmir.2011.05.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2010] [Revised: 05/05/2011] [Accepted: 05/09/2011] [Indexed: 10/18/2022]

Number

Cited by Other Article(s)

Hirata I, Mazzotta A, Makvandi P, Cesini I, Brioschi C, Ferraris A, Mattoli V. Sensing Technologies for Extravasation Detection: A Review. ACS Sens 2023;8:1017-1032. [PMID: 36912628 PMCID: PMC10043935 DOI: 10.1021/acssensors.2c02602] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Accepted: 01/27/2023] [Indexed: 03/14/2023]

Kamada S, Mosier R, El-Khalili T, Triantis S, Yang R. Scoping Review of Early Intravenous Infiltration and Extravasation Detection Devices. JOURNAL OF INFUSION NURSING 2023;46:97-106. [PMID: 36853872 DOI: 10.1097/nan.0000000000000499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/01/2023]

Affiliation(s)

Sneha Kamada Johns Hopkins University, Baltimore, Maryland (Mss. Kamada, Mosier, Triantis, and Mr El-Khalili); Maxillofacial Surgery and Dentistry, Johns Hopkins Hospital, Baltimore, Maryland (Dr Yang) Sneha Kamada is a fourth-year undergraduate student at Johns Hopkins University working toward a bachelor's and master's degree in biomedical engineering with a focus in immunoengineering. She is experienced in the design and development of medical devices for pediatric patients and orthopedic surgeons. She has previous grant-writing experience and has written a textbook chapter on institutional review board protocols for a translational handbook. She is currently working with an undergraduate team to develop a novel arthroscope to provide better visualization for posterior knee procedures Rebecca Mosier is a fourth-year undergraduate student at Johns Hopkins University working toward her bachelor's and master's degrees in biomedical engineering with a focus in biomedical data science. She has experience working with medical devices and data analytics to solve unmet needs for pediatric patients. She is interested in developing medical technologies to improve patient outcomes. Additionally, she is currently leading an undergraduate team in developing a novel temporary epicardial pacing wire to reduce morbidities after open-heart surgeries Taj El-Khalili is a third-year biomedical engineering student at Johns Hopkins University. For 3 years he has been designing a novel intravenous infiltration detection device with a team of fellow undergraduates and clinicians at the Johns Hopkins Hospital. In May of 2023 he will graduate with a B.S./M.S. degree and plans to attend medical school Sophia Triantis, BS, MSE, completed her bachelor's and master's of science degrees in biomedical engineering with a concentration in medical devices and imaging at Johns Hopkins University in 2021. Her experiences include the design and development of multiple medical devices to solve unmet needs in low-resource settings and for pediatric patients. She is interested in the development of simple, cost-effective medical technology that can expand access to quality care. She currently works at Hologic developing medical technology for breast cancer care Robin Yang, DDS, MD, has had the benefit of training as a dentist, an oral surgeon, and now a plastic surgeon. Having a diverse background of education has helped him evaluate clinical problems from various clinical points of view. His clinical interests include pediatric plastic surgery, pediatric craniofacial reconstruction, cleft lip/nose, cleft palate, orthognathic surgery, craniosynostosis, obstructive sleep apnea, and pediatric craniofacial trauma. He is currently in his first year as an attending plastic surgeon at Johns Hopkins Hospital. His career aspirations have always been to become a pediatric craniofacial surgeon-scientist. His research interests are focused on large data accumulation and automatic learning. Joining the faculty at Johns Hopkins has allowed him to start collaborations with the leaders in biomedical engineering. He hopes that his pilot grant will allow them to further their interests in automatic presurgical planning for craniofacial reconstruction
Rebecca Mosier Johns Hopkins University, Baltimore, Maryland (Mss. Kamada, Mosier, Triantis, and Mr El-Khalili); Maxillofacial Surgery and Dentistry, Johns Hopkins Hospital, Baltimore, Maryland (Dr Yang) Sneha Kamada is a fourth-year undergraduate student at Johns Hopkins University working toward a bachelor's and master's degree in biomedical engineering with a focus in immunoengineering. She is experienced in the design and development of medical devices for pediatric patients and orthopedic surgeons. She has previous grant-writing experience and has written a textbook chapter on institutional review board protocols for a translational handbook. She is currently working with an undergraduate team to develop a novel arthroscope to provide better visualization for posterior knee procedures Rebecca Mosier is a fourth-year undergraduate student at Johns Hopkins University working toward her bachelor's and master's degrees in biomedical engineering with a focus in biomedical data science. She has experience working with medical devices and data analytics to solve unmet needs for pediatric patients. She is interested in developing medical technologies to improve patient outcomes. Additionally, she is currently leading an undergraduate team in developing a novel temporary epicardial pacing wire to reduce morbidities after open-heart surgeries Taj El-Khalili is a third-year biomedical engineering student at Johns Hopkins University. For 3 years he has been designing a novel intravenous infiltration detection device with a team of fellow undergraduates and clinicians at the Johns Hopkins Hospital. In May of 2023 he will graduate with a B.S./M.S. degree and plans to attend medical school Sophia Triantis, BS, MSE, completed her bachelor's and master's of science degrees in biomedical engineering with a concentration in medical devices and imaging at Johns Hopkins University in 2021. Her experiences include the design and development of multiple medical devices to solve unmet needs in low-resource settings and for pediatric patients. She is interested in the development of simple, cost-effective medical technology that can expand access to quality care. She currently works at Hologic developing medical technology for breast cancer care Robin Yang, DDS, MD, has had the benefit of training as a dentist, an oral surgeon, and now a plastic surgeon. Having a diverse background of education has helped him evaluate clinical problems from various clinical points of view. His clinical interests include pediatric plastic surgery, pediatric craniofacial reconstruction, cleft lip/nose, cleft palate, orthognathic surgery, craniosynostosis, obstructive sleep apnea, and pediatric craniofacial trauma. He is currently in his first year as an attending plastic surgeon at Johns Hopkins Hospital. His career aspirations have always been to become a pediatric craniofacial surgeon-scientist. His research interests are focused on large data accumulation and automatic learning. Joining the faculty at Johns Hopkins has allowed him to start collaborations with the leaders in biomedical engineering. He hopes that his pilot grant will allow them to further their interests in automatic presurgical planning for craniofacial reconstruction
Taj El-Khalili Johns Hopkins University, Baltimore, Maryland (Mss. Kamada, Mosier, Triantis, and Mr El-Khalili); Maxillofacial Surgery and Dentistry, Johns Hopkins Hospital, Baltimore, Maryland (Dr Yang) Sneha Kamada is a fourth-year undergraduate student at Johns Hopkins University working toward a bachelor's and master's degree in biomedical engineering with a focus in immunoengineering. She is experienced in the design and development of medical devices for pediatric patients and orthopedic surgeons. She has previous grant-writing experience and has written a textbook chapter on institutional review board protocols for a translational handbook. She is currently working with an undergraduate team to develop a novel arthroscope to provide better visualization for posterior knee procedures Rebecca Mosier is a fourth-year undergraduate student at Johns Hopkins University working toward her bachelor's and master's degrees in biomedical engineering with a focus in biomedical data science. She has experience working with medical devices and data analytics to solve unmet needs for pediatric patients. She is interested in developing medical technologies to improve patient outcomes. Additionally, she is currently leading an undergraduate team in developing a novel temporary epicardial pacing wire to reduce morbidities after open-heart surgeries Taj El-Khalili is a third-year biomedical engineering student at Johns Hopkins University. For 3 years he has been designing a novel intravenous infiltration detection device with a team of fellow undergraduates and clinicians at the Johns Hopkins Hospital. In May of 2023 he will graduate with a B.S./M.S. degree and plans to attend medical school Sophia Triantis, BS, MSE, completed her bachelor's and master's of science degrees in biomedical engineering with a concentration in medical devices and imaging at Johns Hopkins University in 2021. Her experiences include the design and development of multiple medical devices to solve unmet needs in low-resource settings and for pediatric patients. She is interested in the development of simple, cost-effective medical technology that can expand access to quality care. She currently works at Hologic developing medical technology for breast cancer care Robin Yang, DDS, MD, has had the benefit of training as a dentist, an oral surgeon, and now a plastic surgeon. Having a diverse background of education has helped him evaluate clinical problems from various clinical points of view. His clinical interests include pediatric plastic surgery, pediatric craniofacial reconstruction, cleft lip/nose, cleft palate, orthognathic surgery, craniosynostosis, obstructive sleep apnea, and pediatric craniofacial trauma. He is currently in his first year as an attending plastic surgeon at Johns Hopkins Hospital. His career aspirations have always been to become a pediatric craniofacial surgeon-scientist. His research interests are focused on large data accumulation and automatic learning. Joining the faculty at Johns Hopkins has allowed him to start collaborations with the leaders in biomedical engineering. He hopes that his pilot grant will allow them to further their interests in automatic presurgical planning for craniofacial reconstruction
Sophia Triantis Johns Hopkins University, Baltimore, Maryland (Mss. Kamada, Mosier, Triantis, and Mr El-Khalili); Maxillofacial Surgery and Dentistry, Johns Hopkins Hospital, Baltimore, Maryland (Dr Yang) Sneha Kamada is a fourth-year undergraduate student at Johns Hopkins University working toward a bachelor's and master's degree in biomedical engineering with a focus in immunoengineering. She is experienced in the design and development of medical devices for pediatric patients and orthopedic surgeons. She has previous grant-writing experience and has written a textbook chapter on institutional review board protocols for a translational handbook. She is currently working with an undergraduate team to develop a novel arthroscope to provide better visualization for posterior knee procedures Rebecca Mosier is a fourth-year undergraduate student at Johns Hopkins University working toward her bachelor's and master's degrees in biomedical engineering with a focus in biomedical data science. She has experience working with medical devices and data analytics to solve unmet needs for pediatric patients. She is interested in developing medical technologies to improve patient outcomes. Additionally, she is currently leading an undergraduate team in developing a novel temporary epicardial pacing wire to reduce morbidities after open-heart surgeries Taj El-Khalili is a third-year biomedical engineering student at Johns Hopkins University. For 3 years he has been designing a novel intravenous infiltration detection device with a team of fellow undergraduates and clinicians at the Johns Hopkins Hospital. In May of 2023 he will graduate with a B.S./M.S. degree and plans to attend medical school Sophia Triantis, BS, MSE, completed her bachelor's and master's of science degrees in biomedical engineering with a concentration in medical devices and imaging at Johns Hopkins University in 2021. Her experiences include the design and development of multiple medical devices to solve unmet needs in low-resource settings and for pediatric patients. She is interested in the development of simple, cost-effective medical technology that can expand access to quality care. She currently works at Hologic developing medical technology for breast cancer care Robin Yang, DDS, MD, has had the benefit of training as a dentist, an oral surgeon, and now a plastic surgeon. Having a diverse background of education has helped him evaluate clinical problems from various clinical points of view. His clinical interests include pediatric plastic surgery, pediatric craniofacial reconstruction, cleft lip/nose, cleft palate, orthognathic surgery, craniosynostosis, obstructive sleep apnea, and pediatric craniofacial trauma. He is currently in his first year as an attending plastic surgeon at Johns Hopkins Hospital. His career aspirations have always been to become a pediatric craniofacial surgeon-scientist. His research interests are focused on large data accumulation and automatic learning. Joining the faculty at Johns Hopkins has allowed him to start collaborations with the leaders in biomedical engineering. He hopes that his pilot grant will allow them to further their interests in automatic presurgical planning for craniofacial reconstruction
Robin Yang Johns Hopkins University, Baltimore, Maryland (Mss. Kamada, Mosier, Triantis, and Mr El-Khalili); Maxillofacial Surgery and Dentistry, Johns Hopkins Hospital, Baltimore, Maryland (Dr Yang) Sneha Kamada is a fourth-year undergraduate student at Johns Hopkins University working toward a bachelor's and master's degree in biomedical engineering with a focus in immunoengineering. She is experienced in the design and development of medical devices for pediatric patients and orthopedic surgeons. She has previous grant-writing experience and has written a textbook chapter on institutional review board protocols for a translational handbook. She is currently working with an undergraduate team to develop a novel arthroscope to provide better visualization for posterior knee procedures Rebecca Mosier is a fourth-year undergraduate student at Johns Hopkins University working toward her bachelor's and master's degrees in biomedical engineering with a focus in biomedical data science. She has experience working with medical devices and data analytics to solve unmet needs for pediatric patients. She is interested in developing medical technologies to improve patient outcomes. Additionally, she is currently leading an undergraduate team in developing a novel temporary epicardial pacing wire to reduce morbidities after open-heart surgeries Taj El-Khalili is a third-year biomedical engineering student at Johns Hopkins University. For 3 years he has been designing a novel intravenous infiltration detection device with a team of fellow undergraduates and clinicians at the Johns Hopkins Hospital. In May of 2023 he will graduate with a B.S./M.S. degree and plans to attend medical school Sophia Triantis, BS, MSE, completed her bachelor's and master's of science degrees in biomedical engineering with a concentration in medical devices and imaging at Johns Hopkins University in 2021. Her experiences include the design and development of multiple medical devices to solve unmet needs in low-resource settings and for pediatric patients. She is interested in the development of simple, cost-effective medical technology that can expand access to quality care. She currently works at Hologic developing medical technology for breast cancer care Robin Yang, DDS, MD, has had the benefit of training as a dentist, an oral surgeon, and now a plastic surgeon. Having a diverse background of education has helped him evaluate clinical problems from various clinical points of view. His clinical interests include pediatric plastic surgery, pediatric craniofacial reconstruction, cleft lip/nose, cleft palate, orthognathic surgery, craniosynostosis, obstructive sleep apnea, and pediatric craniofacial trauma. He is currently in his first year as an attending plastic surgeon at Johns Hopkins Hospital. His career aspirations have always been to become a pediatric craniofacial surgeon-scientist. His research interests are focused on large data accumulation and automatic learning. Joining the faculty at Johns Hopkins has allowed him to start collaborations with the leaders in biomedical engineering. He hopes that his pilot grant will allow them to further their interests in automatic presurgical planning for craniofacial reconstruction

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Munthuli A, Intanai J, Tossanuch P, Pooprasert P, Ingpochai P, Boonyasatian S, Kittithammo K, Thammarach P, Boonmak T, Khaengthanyakan S, Yaemsuk A, Vanichvarodom P, Phienphanich P, Pongcharoen P, Sakonlaya D, Sitthiwatthanawong P, Wetchawalit S, Chakkavittumrong P, Thongthawee B, Pathomjaruwat T, Tantibundhit C. Extravasation Screening and Severity Prediction from Skin Lesion Image using Deep Neural Networks. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2022;2022:1827-1833. [PMID: 36086628 DOI: 10.1109/embc48229.2022.9871115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]

Roditi G, Khan N, van der Molen AJ, Bellin MF, Bertolotto M, Brismar T, Correas JM, Dekkers IA, Geenen RWF, Heinz-Peer G, Mahnken AH, Quattrocchi CC, Radbruch A, Reimer P, Romanini L, Stacul F, Thomsen HS, Clément O. Intravenous contrast medium extravasation: systematic review and updated ESUR Contrast Media Safety Committee Guidelines. Eur Radiol 2022;32:3056-3066. [PMID: 35175378 PMCID: PMC9038843 DOI: 10.1007/s00330-021-08433-4] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2021] [Revised: 08/29/2021] [Accepted: 10/14/2021] [Indexed: 01/28/2023]

Affiliation(s)

Giles Roditi Department of Radiology, Glasgow Royal Infirmary, Glasgow, UK
Nadir Khan Department of Radiology, Glasgow Royal Infirmary, Glasgow, UK
Aart J van der Molen Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands
Marie-France Bellin University Paris-Saclay, AP-HP, University Hospital Bicêtre, Service de Radiologie, BioMaps, Le Kremlin-Bicêtre, France
Michele Bertolotto Department of Radiology, University Hospital Trieste, Trieste, Italy
Torkel Brismar Department of Clinical Science, Intervention and Technology, Unit of Radiology, Karolinska Institutet and Department of Radiology, Karolinska University Hospital in Huddinge, Stockholm, Sweden
Jean-Michel Correas Université de Paris, AP-HP, Groupe Hospitalier Necker, DMU Imagina, Service de Radiologie, Paris, France
Ilona A Dekkers Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands
Remy W F Geenen Department of Radiology, Northwest Clinics, Alkmaar, The Netherlands
Gertraud Heinz-Peer Department of Radiology, Landesklinikum St. Pölten, St. Pölten, Austria
Andreas H Mahnken Department of Diagnostic and Interventional Radiology, Marburg University Hospital, Marburg, Germany
Carlo C Quattrocchi Imaging Center, Unit of Diagnostic Imaging and Interventional Radiology, Università Campus Bio-Medico Di Roma, Rome, Italy
Alexander Radbruch Department of Radiology, Clinic for Diagnostic and Interventional Neuroradiology, Bonn, Germany
Peter Reimer Department of Radiology, Institute for Diagnostic and Interventional Radiology, Klinikum Karlsruhe, Karlsruhe, Germany
Laura Romanini Department of Radiology, ASST Cremona, Cremona, Italy
Fulvio Stacul Department of Radiology, Ospedale Maggiore, Trieste, Italy
Henrik S Thomsen Department of Radiology, Copenhagen University Hospital Herlev, Copenhagen, Denmark
Olivier Clément Université de Paris, AP-HP, Hôpital Européen Georges Pompidou, DMU Imagina, Service de Radiologie, 20 Rue LeBlanc, 75015, Paris, France.

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Lim R, Damalerio RB, Bong CL, Tan SK, Cheng MY. Novel Conformal Skin Patch with Embedded Thin-Film Electrodes for Early Detection of Extravasation. SENSORS 2021;21:s21103429. [PMID: 34069128 PMCID: PMC8156920 DOI: 10.3390/s21103429] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Revised: 05/11/2021] [Accepted: 05/13/2021] [Indexed: 11/16/2022]

Barrera CA, White AM, Shepherd AM, Mecca P, Biko DM, Saul D, Otero HJ. Contrast Extravasation using Power Injectors for Contrast-Enhanced Computed Tomography in Children: Frequency and Injury Severity. Acad Radiol 2019;26:1668-1674. [PMID: 31138458 DOI: 10.1016/j.acra.2019.04.008] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2018] [Revised: 04/01/2019] [Accepted: 04/13/2019] [Indexed: 11/29/2022]

Ding S, Meystre NR, Campeanu C, Gullo G. Contrast media extravasations in patients undergoing computerized tomography scanning: a systematic review and meta-analysis of risk factors and interventions. JBI DATABASE OF SYSTEMATIC REVIEWS AND IMPLEMENTATION REPORTS 2018;16:87-116. [PMID: 29324560 PMCID: PMC5771689 DOI: 10.11124/jbisrir-2017-003348] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]

Abstract

OBJECTIVE

To identify risk factors and interventions preventing or reducing contrast medium extravasation.

INTRODUCTION

Computed tomography (CT) is a radiological examination essential for the diagnosis and monitoring of many diseases. It is often performed with the intravenous (IV) injection of contrast agents. Use of these products can result in a significant complication, extravasation, which is the accidental leakage of IV material into the surrounding tissue. Patients may feel a sharp pain and skin ulceration or necrosis may develop.

INCLUSION CRITERIA

This review considered studies that included patients (adults and children) undergoing a CT with IV administration of contrast media. The risk factors considered were patient demographics, comorbidities and medication history. This review also investigated any strategies related to: contrast agent, injection per se, material used for injection, apparatus used, healthcare professionals involved, and patient risk assessment performed by the radiology personnel. The comparators were other interventions or usual care. This review investigated randomized controlled trials and non-randomized controlled trials. When neither of these were available, other study designs, such as prospective and retrospective cohort studies, case-control studies and case series, were considered for inclusion. Primary outcomes considered were: extravasation frequency, volume, severity and complications.

METHODS

The databases PubMed, CINAHL, Embase, the Cochrane Register of Controlled Trials, Web of Science PsycINFO, ProQuest Dissertations and Theses A&I, TRIP Database and ClinicalTrials.gov were searched to find both published and unpublished studies from 1980 to September 2016. Papers were assessed by two independent reviewers for methodological validity using the Joanna Briggs Institute System for the Unified Management, Assessment and Review of Information (JBI SUMARI). Data were extracted using the standardized data extraction tool from JBI SUMARI. In one case, quantitative data from two cohort studies were pooled in a statistical meta-analysis. However, generally, statistical pooling was not possible due to heterogeneity of the interventions, populations of interest or outcomes. Accordingly, the findings have been presented in narrative form.

RESULTS

Fifteen articles were selected from a total of 2151 unique studies identified. Two were randomized controlled trials and 13 were quasi-experimental and observational studies. The quality of these studies was judged to be low to moderate. Some patient characteristics, such as female sex and inpatient status, appeared to be risk factors for extravasation. Additionally, injection rate, venous access site and catheter dwelling time could affect the volume extravasated. Preliminary studies seemed to indicate the potential of extravasation detection accessories to identify extravasation and reduce the volume extravasated. The other interventions either did not result in significant reduction in the frequency/volume of extravasation, or the results were mixed across the studies.

CONCLUSIONS

The majority of the studies included in this review evaluated the outcomes of extravasation frequency and volume. Given the quality of the primary studies, this systematic review identified only potential risk factors and interventions. It further highlighted the research gap in this area and the importance of conducting trials with solid methodological designs.

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