Download PDF
CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2015; 25(01): 2-10
DOI: 10.4103/0971-3026.150105
Computers and Related Technologies

Pressure injectors for radiologists: A review and what is new

Inna K Indrajit
Department of Radiodiagnosis and Interventional, Indian Naval Hospital Ship Asvini, Mumbai, Maharashtra, India
,
Rajeev Sivasankar
Department of Radiodiagnosis and Interventional, Indian Naval Hospital Ship Asvini, Mumbai, Maharashtra, India
,
John D′Souza
Department of Radiology, Indian Naval Hospital Ship Asvini, Mumbai, Maharashtra, India
,
Rochan Pant
Department of Radiodiagnosis and Interventional, Indian Naval Hospital Ship Asvini, Mumbai, Maharashtra, India
,
Raj S Negi
Department of Radiodiagnosis and Interventional, Indian Naval Hospital Ship Asvini, Mumbai, Maharashtra, India
,
Samresh Sahu
Department of Radiodiagnosis and Interventional, Indian Naval Hospital Ship Asvini, Mumbai, Maharashtra, India
,
Hashim PI
Department of Radiology, Indian Naval Hospital Ship Asvini, Mumbai, Maharashtra, India
› Author Affiliations Financial support and sponsorship Nil.
› Further Information
  PDF Download Permissions and Reprints

Abstract

Pressure Injectors are used routinely in diagnostic and interventional radiology. Advances in medical science and technology have made it is imperative for both diagnostic as well as interventional radiologists to have a thorough understanding of the various aspects of pressure injectors. Further, as many radiologists may not be fully conversant with injections into ports, central lines and PICCs, it is important to familiarize oneself with the same. It is also important to follow stringent operating protocols during the use of pressure injectors to prevent complications such as contrast extravastion, sepsis and air embolism. This article aims to update existing knowledge base in this respect.

Keywords

Connectors - Poiseuille’s law - power PICC - pressure injectors - tubings


Publication History

Article published online:
30 July 2021

© 2015. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

  • References

  • 1 Indrajit I, Alam A, Sahni H, Bhatia M, Sahu S. Dry imaging cameras. Indian J Radiol Imaging 2011;21:82-9.
  • 2 Rigsby CK, Gasber E, Seshadri R, Sullivan C, Wyers M, Ben-Ami T. Safety and efficacy of pressure-limited power injection of iodinated contrast medium through central lines in children. AJR Am J Roentgenol 2007;188:726-32.
  • 3 Pounds Per Square Inch-Wikipedia, the Free Encyclopedia. Available from: http://en.wikipedia.org/wiki/Pounds_per_square_inch. [Last accessed on 2014 Jan 26].
  • 4 Keep Vein Open Method and Injector with Keep Vein Open Function US 7491191 B2 Filing Date Feb 13, 2004 Wiki Patent. Available from: http://www.google.com/patents/US7491191. [Last accessed on 2014 Jan 29].
  • 5 Bae KT. Technical aspects of contrast delivery in advanced CT. Available from: http://www.appliedradiologycom/Issues/2003/12/Supplements/Technical-aspects- of-c ontrast- delivery-in-advanced-CT.aspx. [Last accessed on 2014 Jan 31].
  • 6 Plumb AA, Murphy G. The use of central venous catheters for intravenous contrast injection for CT examinations. Br J Radiol 2011;84:197-203.
  • 7 Cardiac Interventions Today 2013 Buyer′s Guide. Available from: http://www.bmctoday.net/citoday/buyersguide/2013/chart.asp?id=contrast_delivery_systems. [Last accessed on 2014 Jan 16].
  • 8 Medrad Products. Available from: http://www.medrad.com/en-us/info/products/Pages/Products-landing.aspx. [Last accessed on 2014 Jan 17].
  • 9 Medrad History. Available from: http://www.medrad.com/en-us/aboutmedrad/Pages/History.aspx. [Last accessed on 2014 Jan 22].
  • 10 Bracco Contrast Injectors. Available from: http://imaging.bracco.com/us-en/products-and-solutions/contrast-injectors. [Last accessed on 2014 Jan 10].
  • 11 Bracco (company). Available from: http://en.wikipedia.org/wiki/Bracco_(company). [Last accessed on 2014 Jan 16].
  • 12 Optivantage™ Dual-Head Injector Dual-Head CT Contrast Delivery System. Available from: http://pharmaceuticals.covidien.com/webforms/threecolumn.aspx?id=670. [Last accessed on 2014 Jan 20].
  • 13 Schiller India ties up with Covidien for Injectors. Available from: http://modernmedicare.co.in/articles/schiller-india -ties-up- with-covidien-for-injectors/. [Last accessed on 2014 Jan 21].
  • 14 Mallinckrodt Pharmaceuticals. Available from: http://en.wikipedia.org/wiki/Mallinckrodt. [Last accessed on 2014 Jan 21].
  • 15 CT contrast medium injector Accutron CT. Available from: http://www.medtron.de/en/ct/accutron-ct.html. [Last accessed on 2014 Jan 22].
  • 16 Nemoto Contrast Injectors. Available from: http://www.nemoto-do.co.jp/nemoto_en/pr_ce/index.html">http://www.nemoto-do.co.jp/nemoto_en/pr_ce/index.html. [Last accessed on 2014 Jan 22].
  • 17 Uhlrich Contrast Media Injectors. Available from: http://www.ulrichmedical.com/en/ctmri-contrast-agent-injectors.html-0. [Last accessed on 2014 Jan 24].
  • 18 Covidien Power Injectors for Diagnostic Imaging Contrast under Control. Available from: http://www.healthcare21.ie/media/blfa_files/Injectors.pdf. [Last accessed on 2014 Jan 22].
  • 19 The CT Saline Advantage. Available from: http://www.medrad.com/fr-fr/info/products/Pages/TheCTSalineAdvantage.aspx. [Last accessed on 2014 Jan 26].
  • 20 ACR Manual on Contrast Media Version 9 2013. Available from: http://www.acr.org/~/media/ACR/Documents/PDF/QualitySafety/Resources/Contrast%20Manual/2013_Contrast_Media.pdf. [Last accessed on 2014 Jan 11].
  • 21 Brunette J, Mongrain R, Rodés-Cabau J, Larose E, Leask R, Bertrand OF. Comparative rheology of low- and iso-osmolarity contrast agents at different temperatures. Catheter Cardiovasc Interv 2008;71:78-83.
  • 22 Buerke B, Puesken M, Mellmann A, Schuelke C, Knauer A, Heindel W, et al. Automatic MDCT injectors: Hygiene and effciency of disposable, prefilled, and multidosing roller pump systems in clinical routine. AJR Am J Roentgenol 2011;197:W226-32.
  • 23 UAB Department of Radiology Guideline on IV Injection Techniques and Quality Monitoring for CT-University and UAB Highlands Hospitals. Available from: http://www.uasom.uab.edu/PublicDocuments/Radiology/PandP/CT_IV_Access_Guidelines.pdf. [Last accessed on 2014 Jan 29].
  • 24 Amaral JG, Traubici J, BenDavid G, Reintamm G, Daneman A. Safety of power injector use in children as measured by incidence of extravasation. AJR Am J Roentgenol 2006;187:580-3.
  • 25 UMHS Department of Radiology, CT Section IV Injection Guidelines for CT Contrast. Available from: http://www.med.umich.edu/rad/IVguidelines.pdf. [Last accessed on 2014 Jan 29].
  • 26 CT Technologist: Policy for Power Injection. Available from: http://medicine.yale.edu/. [Last accessed on 2014 Jan 23].
  • 27 Implantable Vascular Access Power Ports: A Closer Look. Oncology Nursing Society (ONS). Available from: http://onsopcontent.ons.org/Publications/SigNewsletters/acc/acc18.2.html. [Last accessed on 2014 Feb 4].
  • 28 UCSF Vascular Access and Use of Central Lines and Ports in Adults Intravenous Administration of Contrast Agents for Enhanced CT or MR Scans in Adults. Available from: http://www.radiology.ucsf.edu/patient-care/patient-safety/contrast/iodinated/vascular-access-adults. [Last accessed on 2014 Feb 03].
  • 29 Herts BR, O′Malley CM, Wirth SL, Lieber ML, Pohlman B. Power injection of contrast media using central venous catheters: Feasibility, safety, and efficacy. AJR Am J Roentgenol 2001;176:447-53.
  • 30 Wienbeck S, Fischbach R, Kloska SP, Seidensticker P, Osada N, Heindel W, et al. Prospective study of access site complications of automated contrast injection with peripheral venous access in MDCT. AJR Am J Roentgenol 2010;195:825-9.
  • 31 Price DB, Nardi P, Teitcher J. Venous air embolization as a complication of pressure injection of contrast media: CT findings. J Comput Assist Tomogr 1987;11:294-5.
  • 32 Reminders from FDA Regarding Ruptured Vascular Access Devices from Power Injection. Available from: http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/Tipsand Articleson Device Safety/ucm070193.htm. [Last accessed on 2014 Jul 05].
  • 33 DIAS 2007 Catalogue-GE Healthcare. Available from: http://www.gehealthcare.com/accessories/2007%20AandS%20Catalog.pdf. [Last accessed on 2014 Jan 27].
  • 34 CT Exprès TM Contrast Injection System. Bracco Injeneering. Available from: http://braccoimaging.com/sites/braccoimaging.com/files/technica_sheet_pdf/CT%20EXPRES-DEPLIANT% 20 2013_EN_final%20version_15.pdf. [Last accessed on 2014 Mar 11].
  • 35 Diagnostic and Interventional Cardiology. Trends in PICC Line Technology. Available from: http://www.dicardiology.com/article/trends-picc-line-technology. [Last accessed on 2014 Jan 22].
  • 36 Bard Power PICCFNx01 catheter? Frequently Asked Questions. Available from: http://www.powerpicc.com/faq.php. [Last accessed on 2014 Jan 23].
  • 37 MRI Hydraulic Injector Empower MR®. Available from: http://www.allmri.com/product_info.php?language=enandinfo=p201_mri-hydraulic-injector-empower-mr-.htmland. [Last accessed on 2014 Jan 29].
  • 38 Bolan C. IT Empowers Contrast Media Injectors. Available from: http://www.appliedradiology.com/Issues/2011/07/Tech-Trends/IT-empowers-contrast-media-injectors.aspx. [Last accessed on 2014 Feb 2].
  • 39 CE Evidence. Available from: http://www.nemoto-do.co.jp/nemoto_en/pr_ce/. [Last accessed on 2014 Feb 01]. 39.