'Echovist' Searchterm 'Echovist' found in 3 articles 1 term [ • ] - 2 definitions [• ] Result Pages : •
From Bayer Schering Pharma AG: Echovist-200® was an effectively one-pass-only contrast medium for contrast sonography and Doppler-echocardiographic examinations for the detection, exclusion or follow-up of pathological states leading to hemodynamic changes. Because of the short intravascular life of the microparticles and microbubbles, transit through the pulmonary circulation is unusual. In cardiac evaluations Echovist-200® has been replaced by newer ultrasound contrast agents (USCA), therefore the manufacturing was discontinued. Another range of echo contrast application is the female genital tract, in particular for the demonstration or exclusion of acquired or congenital changes of the uterine cavity and for the visualization of the Fallopian tubes and investigation of their patency. 1 g Echovist-200 granules contain 1 g D-galactose microparticles. 1 ml aqueous solution for production of the suspension contains 200 mg D-galactose. Brand names in other countries: Ecovist.
Drug Information and Specification
RESEARCH NAME
-
DEVELOPER
INDICATION
Hysterosalpingo-contrast sonography (HyCoSy), echocardiographic use in neonates and children
APPLICATION
Intravenous injection
TYPE
Microbubble
D-GALACTOSE®
Air
MICROBUBBLE SIZE
99 % < 12 μm, 95 % < 8 μm
STORAGE
Store below 30 °C
PRESENTATION
Vials of 20 ml with 3.0 g granulate incl. one vial of 15 ml containing 13.5 ml D-galactose solution, one mini-spike
PREPARATION
Reconstitute with water
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The Germany-based pharmaceutical company is the result of the take-over of Schering AG by Bayer AG in 2006. The Bayer Schering Pharma AG is part of the Bayer HealthCare AG, which represents the pharmaceutical part of the Bayer Group.
The company makes ultrasound, x-ray and MRI contrast media, drugs for treating cancer, multiple-sclerosis, heart and nervous system disorders and severe skin conditions. In general, its activities are focused on four business areas: Fertility control & hormone therapy, diagnostics & radiopharmaceuticals, dermatology as well as specialized therapeutics for disabling diseases in the fields of the central nervous system, oncology and cardiovascular system. Currently, Bayer Schering Pharma discontinued the manufacturing and development of ultrasound contrast agents. Ultrasound Contrast Agents:
Contact Information
MAIL
Bayer Schering Pharma AG
51368 Leverkusen GERMANY
PHONE
+49-30-46-81-2431
FAX
+49-30-46-81-8195
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The earliest introduction of vascular ultrasound contrast agents (USCA) was by Gramiak and Shah in 1968, when they injected agitated saline into the ascending aorta and cardiac chambers during echocardiographic to opacify the left heart chamber. Strong echoes were produced within the heart, due to the acoustic mismatch between free air microbubbles in the saline and the surrounding blood. The disadvantage of this microbubbles produced by agitation, was that the air quickly leak from the thin bubble shell into the blood, where it dissolved. In addition, the small bubbles that were capable of traversing the capillary bed did not survive long enough for imaging because the air quickly dissipated into the blood. Aside from agitated saline, also hydrogen peroxide, indocyanine green dye, and iodinated contrast has been tested. The commercial development of contrast agents began in the 1980s with greatest effort to the stabilization of small microbubbles. The development generations by now:
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first generation USCA = non-transpulmonary vascular;;
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second generation USCA = transpulmonary vascular, with short half-life (less than 5 min);
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third generation USCA = transpulmonary vascular, with longer half-life (greater than 5 min).
To pass through the lung capillaries and enter into the systemic circulation, microspheres should be less than 10 μm in diameter. Air bubbles in that size range persist in solution for only a short time; too short for systemic vascular use. The first developed agent was Echovist (1982), which enabled the enhancement of the right heart. The second generation of echogenic agents, sonicated 5% human albumin-containing air bubbles (Albunex), were capable of transpulmonary passage but often failed to produce adequate imaging of the left heart. Both Albunex and Levovist utilize air as the gas component of the microbubble. In the 1990s newer developed agents with fluorocarbon gases and albumin, surfactant, lipid, or polymer shells have an increased persistence of the microspheres. This smaller, more stable microbubble agents, and improvements in ultrasound technology, have resulted in a wider range of application including myocardial perfusion. See also First Generation USCA, Second Generation USCA, and Third Generation USCA. Further Reading: Basics:
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