Short-, Mid-, and Long-Term Strategies to Manage the Shortage of Iohexol
Thomas M Grist, Cheri L Canon, Elliot K Fishman, Maureen P Kohi, Mahmud Mossa-Basha
Radiology . 2022 May 19;221183. doi: 10.1148/radiol.221183. Online ahead of print.
Recent disruptions in a pharmaceutical supply chain critical to radiologic imaging has impacted the global availability of iohexol iodinated contrast media (ICM). The shortage of iohexol has created a national crisis in the ability of radiology departments to provide health care to patients needing contrast-enhanced exams. Radiology departments are familiar with crisis management after more than two years of clinical and operational disruptions associated with the COVID-19 pandemic. The implications of this shortage has near-term (weeks), mid-term (months), and long term (years) impact. The purpose of this report is to provide the reader with strategies for dealing with the shortage of ICM in the near term and discuss long-term issues and potential solutions to supply chain problems impacting radiology departments.
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