Prevention of Hypersensitivity Reaction to Iodinated Contrast Media during Vascular Access Procedure

Securing vascular access is important for chronic kidney disease (CKD) patients undergoing hemodialysis.A procedure with angiography is necessary to maintain vascular access.However, allergy to iodine contrast media (ICM) is a problem for patients.Low-osmolality nonionic ICM (LOCM) are favored due to lower hypersensitivity risks.Replacement of ICM reduces recurrent hypersensitivity reactions.Alternative methods offer viable options for patients with iodine allergies.However, each alternative presents advantages and limitations.In conclusion, a comprehensive approach involving the use of LOCM, replacement strategies, and consideration of alternative methods tailored to individual patient needs is essential for minimizing hypersensitivity reactions to iodine contrast agents.