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Table 1 Contrast echocardiography agents

From: Bedside myocardial perfusion assessment with contrast echocardiography

Classification

Gas core

Shell

Trade name

Bubble size (μm)

Comments

First generation

Air

Albumin

Albunex

2–8

No longer made

Air

Palmitic acid/galactose

Levovist (Schering, Kelinworth, NJ)

2–8

Non‐cardiac use mainly

Air

D‐galactose

Echovist (Berlex, Lachine, Quebec City, Canada)

2–8

First commercially available agent

Second generation

Octafluoropropane (C3F8)

Albumin

Optison (GE healthcare, Chalfont St Giles, UK)

1–10

Available in USA, Europe, South America

Octafluoropropane (C3F8)

Lipid

Definity (BMS, Billerica, MA)

1–10

Available in USA, Europe, South America, Canada, Australasia

Sulfur hexafluoride (SF6)

Lipid

Sonovue (Bracca, Milan, Italy)

1–10

Available in Europe and USA (known as Lumason)

  1. NB: The list does not include every available contrast agent worldwide and the accuracy of the ‘comments’ section may change but is up to date at time of writing to the best of the authors’ knowledge