Document Detail


Gadopentetate dimeglumine as a potential alternative contrast medium during percutaneous coronary intervention: a case report.
MedLine Citation:
PMID:  15459475     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: There have not been previous reports of patients undergoing percutaneous coronary intervention (PCI) using a gadolinium chelate. METHODS AND RESULTS: A 74-year-old woman, who had a history of anaphylactic shock 4 times in response to iodinated contrast media despite preprocedural intravenous administration of hydrocortisone, was hospitalized because of unstable angina refractory to intensive medical treatment. Fully considering the risks of iodinated agents, digital subtraction coronary angiography and PCI were performed using gadopentetate dimeglumine without any side effects or complications. CONCLUSIONS: Gadolinium chelates can be an alternative contrast media during PCI in particular patients with contraindications to iodinated media.
Authors:
Shinichi Furuichi; Satoshi Yasuda; Yukio Arita; Masami Miyawaki; Kei Nomura; Hiroshi Nonogi; Takashi Shindo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Circulation journal : official journal of the Japanese Circulation Society     Volume:  68     ISSN:  1346-9843     ISO Abbreviation:  Circ. J.     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-10-01     Completed Date:  2005-03-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101137683     Medline TA:  Circ J     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  972-3     Citation Subset:  IM    
Affiliation:
Division of Cardiology, Department of Medicine, Sumitomo Hospital, Japan. sfuruich@hsp.ncvc.go.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Anaphylaxis / chemically induced,  drug therapy,  pathology
Angiography, Digital Subtraction / methods*
Angioplasty, Transluminal, Percutaneous Coronary*
Anti-Inflammatory Agents / administration & dosage
Contrast Media / administration & dosage*
Female
Gadolinium DTPA / administration & dosage*,  diagnostic use
Humans
Hydrocortisone / administration & dosage
Iohexol / administration & dosage
Iopamidol / administration & dosage,  analogs & derivatives*
Myocardial Infarction / diagnosis*,  pathology,  therapy*
Chemical
Reg. No./Substance:
0/Anti-Inflammatory Agents; 0/Contrast Media; 50-23-7/Hydrocortisone; 62883-00-5/Iopamidol; 66108-95-0/Iohexol; 78649-41-9/iomeprol; 80529-93-7/Gadolinium DTPA

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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