| Successful non contrast percutaneous coronary intervention for patient with unstable angina and prior anaphylactic reaction to iodinated contrast medium. | |
| | |
MedLine Citation:
|
PMID: 19797832 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
A 53-year-old man, who had a history of angina treated by percutaneous coronary intervention without allergic reaction to contrast and coronary bypass surgery, was hospitalized due to epigastralgia and tarry stool. During an enhanced computed tomography for the evaluation of abdominal diseases, he became hypotensive and had chest pain. To diagnose acute coronary syndrome, coronary angiography (CAG) was performed after the intravenous administration of hydrocortisone. He became hypotensive again during the CAG, which revealed significant coronary artery stenosis in the right coronary artery. Despite the intensive medical treatment, he had angina even while walking in the ward. By using an intravascular ultrasound for coronary stent implantation and the second wire as a marker for the stent implantation, we performed coronary interventional procedures successfully for this patient without the use of iodinated contrast media. |
| | |
Authors:
|
Mamoru Sakakibara; Hiroyuki Tsutsui |
Publication Detail:
|
Type: Case Reports; Journal Article Date: 2009-10-01 |
Journal Detail:
|
Title: Internal medicine (Tokyo, Japan) Volume: 48 ISSN: 1349-7235 ISO Abbreviation: Intern. Med. Publication Date: 2009 |
Date Detail:
|
Created Date: 2009-10-02 Completed Date: 2009-12-29 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9204241 Medline TA: Intern Med Country: Japan |
Other Details:
|
Languages: eng Pagination: 1753-7 Citation Subset: IM |
Affiliation:
|
Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine, Sapporo. mike.s@ninus.ocn.ne.jp |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Acute Coronary Syndrome
/
diagnosis,
therapy Anaphylaxis / chemically induced*, prevention & control Angina, Unstable / therapy* Angioplasty, Transluminal, Percutaneous Coronary / methods* Contrast Media / adverse effects*, contraindications Coronary Angiography Coronary Stenosis / diagnosis, therapy Humans Male Middle Aged Stents Triiodobenzoic Acids / adverse effects, contraindications |
| Chemical | |
Reg. No./Substance:
|
0/Contrast Media; 0/Triiodobenzoic Acids; 87771-40-2/ioversol |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Durable hypogammaglobulinemia associated with thymoma (Good syndrome).
Next Document: Distal myopathy in multi-minicore disease.