Current knowledge and perspectives of contrast-induced neurotoxicity: A survey of Australian clinicians Article Swipe
YOU?
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· 2023
· Open Access
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· DOI: https://doi.org/10.1016/j.jocn.2023.08.014
Contrast-induced Neurotoxicity (CIN) is an increasingly recognised complication following endovascular procedures. It remains a relatively unexplored clinical entity, and we sought to characterise clinician perspectives towards CIN, as well as identify gaps in knowledge and provide directions for future research.An online survey was distributed to members of the Australian and New Zealand Society of Neuroradiology, as well as several Australian tertiary hospitals. Questions related to clinical exposure to CIN, diagnosis, management and pathophysiology were explored. Descriptive analysis was conducted on survey responses, and statistical analysis was performed using Chi-square and Fisher's exact test as appropriate.A total of 95 survey responses were recorded (26.8% response rate). Only 28.4% of respondents were comfortable in diagnosing CIN, and even fewer (24.2%) were comfortable in independently managing CIN patients. Based on clinician opinion, symptoms including impaired consciousness and cortical blindness were thought to be most associated with CIN, whilst the radiological findings of parenchymal oedema and cortical enhancement were considered to be most indicative of CIN. Most clinicians agreed that further investigation is required related to pathophysiology (86.3%), diagnosis (83.2%), and treatment (82.1%).CIN is a poorly understood complication following endovascular procedures. Significant gaps in clinical understanding are evident, and further investigation is vital to improve diagnosis and management.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1016/j.jocn.2023.08.014
- OA Status
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- OpenAlex ID
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https://doi.org/10.1016/j.jocn.2023.08.014Digital Object Identifier
- Title
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Current knowledge and perspectives of contrast-induced neurotoxicity: A survey of Australian cliniciansWork title
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articleOpenAlex work type
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enPrimary language
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2023Year of publication
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2023-08-17Full publication date if available
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Frederick P. Mariajoseph, Leon Lai, Justin M. Moore, Ronil V. Chandra, Tony Goldschlager, Adrian Praeger, Lee‐Anne SlaterList of authors in order
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https://doi.org/10.1016/j.jocn.2023.08.014Publisher landing page
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hybridOpen access status per OpenAlex
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https://doi.org/10.1016/j.jocn.2023.08.014Direct OA link when available
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Medicine, Neuroradiology, Radiological weapon, Complication, Intensive care medicine, Surgery, Neurology, PsychiatryTop concepts (fields/topics) attached by OpenAlex
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10Total citation count in OpenAlex
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2025: 5, 2024: 4, 2023: 1Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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