Perflutren Lipid Microspheres

Perflutren Lipid Microspheres Brand Name– Definity

What is Perflutren Lipid Microspheres

Perflutren lipid microspheres for injection (Definity), is an intravenous diagnostic radiopaque contrast agent used in ultrasonography.

Perflutren is octafluoropropane, a fluorocarbon gas encapsulated in an outer lipid shell. During ultrasound examination, the difference in density between the gas-filled bubbles and the blood around them creates an increased level of contrast visible in the resulting ultrasound image.

The drug is most commonly used as a contrast agent to increase the diagnostic power of echocardiography to opacify the left ventricle and improve the delineation of the left ventricular endocardial borders.

The FDA approved the Definity perflutren lipid microspheres product in July 2001.

Indications

  • echocardiography
  • ultrasound imaging

For use in ultrasound imaging

to enhance echocardiography in patients with suboptimal echocardiograms to opacify the left ventricle and improve the delineation of the left ventricular endocardial borders

Side Effects

  1. abdominal pain
  2. agitation
  3. agranulocytosis
  4. anaphylactic shock
  5. anaphylactoid reactions
  6. angioedema
  7. arthralgia
  8. atrial fibrillation
  9. back pain
  10. blurred vision
  11. bradycardia
  12. bronchospasm
  13. cardiac arrest
  14. cardiopulmonary reaction
  15. chest pain (unspecified)
  16. coma
  17. conjunctivitis
  18. cough
  19. diarrhea
  20. dizziness
  21. dysgeusia
  22. dyspepsia
  23. dyspnea
  24. edema
  25. eosinophilia
  26. erythema
  27. fatigue
  28. fever
  29. flushing
  30. headache
  31. hearing loss
  32. hematoma
  33. hot flashes
  34. hyperhidrosis
  35. hypertension
  36. hypertonia
  37. hypoesthesia
  38. hypotension
  39. hypoxia
  40. injection site reaction
  41. leukocytosis
  42. leukopenia
  43. nausea
  44. palpitations
  45. paresthesias
  46. peripheral edema
  47. pharyngitis
  48. pruritus
  49. rash
  50. respiratory arrest
  51. rhinitis
  52. seizures
  53. sinus tachycardia
  54. supraventricular tachycardia (SVT)
  55. syncope
  56. tremor
  57. urticaria
  58. ventricular fibrillation
  59. ventricular tachycardia
  60. vertigo
  61. visual impairment
  62. vomiting
  63. wheezing
  64. xerosis
  65. xerostomia

Monitoring Parameters

  • laboratory monitoring not necessary

Contraindications

  • acute myocardial infarction
  • arteriovenous shunt
  • breast-feeding
  • cardiopulmonary reaction
  • heart failure
  • intraarterial administration
  • pregnancy
  • ventricular arrhythmias

Interactions

There are no drug interactions associated with Perflutren Lipid Microspheres products.

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