Commonly Used Drugs in Pediatric Interventional Radiology
(All Doses should be confirmed with manufacturer recommendations).
Embolic and Sclerosing Agents |
Ethanol, Sodium Tetradecyl Sulfate, Bleomycin and Doxycycline
|
Dehydrated Ethanol (95-100%) |
For VMs and LMs
|
Sodium Tetradecyl Sulfate 3% |
For VMs and LMs
|
Bleomycin |
For VMs and LMs
|
Doxycycline |
For LMs
|
Local Anesthetics |
|
Lidocaine 1% (Xylocaine 1%)
|
|
Bupivacaine 0.25%
|
|
Lidocaine |
For frequent premature ventricular contractions (PVCs) and ventricular tachycardia during pulmonary angiography.
|
Atropine |
For persistent bradycardia/asystole (e.g. during use of AngioJet)
|
Heparin |
For angioplasty, angiography on smaller infants (particularly < 10-15 kg) and other indications.
|
Protamine sulfate |
For heparin neutralization, Not generally a recommended practice in children
|
Tissue Plasminogen Activator (t-PA) |
For thrombolysis (per recommendations of the “Scientific Subcommittee on Perinatal and Pediatric Thrombosis of the Scientific and Standardization Committee of the International Society of Thrombosis and Hemostasis”
|
Enoxaparin (Lovenox) |
|
Ketorolac (Toradol) |
Pain relief after sclerotherapy and embolization
|
Furosemide (Lasix) |
For oliguria/hemoglobinuria following sclerotherapy
|
Acetaminophen (Tylenol) |
|
Morphine |
Pain relief
|
Aspirin |
|
Arterial Vasospasm |
Nitroglycerin and Papaverine
|
Glucagon |
For bowel paralysis during abdominal angiography
|
Dexamethasone |
Post-sclerotherapy/embolization:
|
Prednisone |
Post-sclerotherapy/embolization:
|
Contrast medium |
|