Postmortem computed tomography angiography, contrast medium administration and toxicological analyses in urine.
Details
Serval ID
serval:BIB_1021D9C832BD
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Postmortem computed tomography angiography, contrast medium administration and toxicological analyses in urine.
Journal
Legal Medicine
ISSN
1344-6223
1873-4162 (Electronic)
1873-4162 (Electronic)
ISSN-L
1344-6223
Publication state
Published
Issued date
2015
Peer-reviewed
Oui
Volume
17
Number
3
Pages
157-162
Language
english
Notes
Publication types: Journal Article Publication Status: ppublish
Abstract
Postmortem angiography methods that use water soluble or lipid soluble liquid contrast compounds may potentially modify the composition of fluid-based biological samples and thus influence toxicological findings. In this study, we investigated whether toxicological investigations performed in urine collected prior to and post angiography using Angiofil? mixed with paraffin oil are characterized by different qualitative or quantitative results. In addition, we studied whether diluting samples with 1% and 3% contrast medium solution may modify molecule concentration. A postmortem angiography group consisting of 50 cases and a postmortem group without angiography consisting of 50 cases were formed. In the first group, toxicological investigations were performed in urine samples collected prior to and post angiography as well as in undiluted and diluted samples. In the second group, analyses were performed in undiluted and diluted urine, bile, gastric content, cerebrospinal and pericardial fluids collected during autopsy. The preliminary results indicate that differences may be observed between urine samples collected prior to and post angiography in the number of identified molecules in relation to specific cases. Analyses performed in diluted samples failed to reveal differences that might potentially alter the interpretation of toxicological results in all analyzed specimens for nearly all molecules, except for tetrahydrocannabinol and its metabolites. Though these findings suggest that toxicology might be effectively performed, in very special cases and for a large number of molecules, in biological samples collected after angiography, it remains recommendable to collect biological fluids for toxicology prior to contrast medium injection.
Pubmed
Web of science
Create date
05/01/2015 9:13
Last modification date
20/08/2019 12:36