Chemistry:Sodium acetrizoate

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Sodium acetrizoate
Sodium acetrizoate.svg
Clinical data
ATC code
Identifiers
CAS Number
PubChem CID
ChemSpider
UNII
ChEMBL
Chemical and physical data
FormulaC9H5I3NNaO3
Molar mass578.846 g·mol−1
3D model (JSmol)
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Sodium acetrizoate (rINN, trade names Urokon, Triurol and Salpix), the sodium salt of acetrizoic acid, is a high-osmolality, water-soluble, iodine-based radiographic contrast medium no longer in clinical use.[1]

Acetrizoate was developed by V.H. Wallingford of Mallinckrodt, and introduced in 1950;[2] it was employed as a contrast agent for several radiographic studies, including pyelography,[3][4] angiography of the brain, carotid arteries and the aorta,[5][6] and cholecystography.[7][8] It was soon found to be highly toxic to the kidneys and nervous system—work urging caution in its administration was published as early as 1959,[9] after reports of adverse reactions ranging from hypersensitivity to brain damage—and was eventually replaced by other agents with higher efficacy and lower toxicity, such as sodium diatrizoate, a closely related compound.[2]

References

  1. "Acetrizoate sodium". Online Medical Dictionary. University of Newcastle upon Tyne. March 5, 2000. http://cancerweb.ncl.ac.uk/cgi-bin/omd?acetrizoate+sodium. Retrieved 2007-11-14. 
  2. 2.0 2.1 McClennan BL (1990). "Preston M. Hickey memorial lecture. Ionic and nonionic iodinated contrast media: evolution and strategies for use". AJR. American Journal of Roentgenology 155 (2): 225–33. doi:10.2214/ajr.155.2.2115244. PMID 2115244. 
  3. "Preliminary report on urokon, a new excretory pyelographic medium". J Urol 63 (6): 1109–12. 1950. PMID 15422724. 
  4. "A comparative clinical trial of urographic media: renografin, hypaque, and urokon". Radiology 66 (6): 871–3. 1956. doi:10.1148/66.6.871. PMID 13323329. 
  5. "Report of one hundred carotid angiograms taken with the new contrast medium acetrizoate (urokon) on Chamberlain's biplane stereoscopic angiographic unit". AMA Archives of Neurology and Psychiatry 69 (5): 651–2. 1953. PMID 13039633. 
  6. "Cerebral arteriography with sodium acetrizoate (urokon sodium) 30%". AMA Archives of Surgery 67 (5): 741–5. 1953. doi:10.1001/archsurg.1953.01260040752012. PMID 13103941. 
  7. ORLOFF TL (1955). "Intravenous cholecystography with a new medium; experience with sodium acetrizoate (urokon sodium) seventy per cent". AMA Archives of Surgery 71 (4): 620–2. doi:10.1001/archsurg.1955.01270160146019. PMID 13258064. 
  8. "Gallbladder visualization following the use of 70 per cent sodium acetrizoate (urokon sodium) for intravenous pyelography". Radiology 69 (4): 576–7. 1957. doi:10.1148/69.4.576. PMID 13485425. 
  9. "A plea for caution in the use of sodium acetrizoate (urokon) for aortography". Ann Surg 150 (1): 172. 1959. doi:10.1097/00000658-195907000-00022. PMID 13661846.