| Ultrasound and fluoroscopic-guided angioplasty over the aortic bifurcation in a patient with previous severe reaction to contrast medium. | |
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MedLine Citation:
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PMID: 11797983 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To describe a case of ultrasound and fluoroscopic-guided angioplasty necessitated by a patient history of allergic reaction to contrast medium. CASE REPORT: A 60-year-old man with intermittent right leg claudication had a focal >70% stenosis in the right external iliac artery that was amenable to balloon dilation; however, the patient reported a severe reaction to radiographic contrast medium 10 years previously. Angioplasty was begun with transaortic access to the iliac artery lesion under fluoroscopic guidance only. On-table duplex imaging confirmed the lesion site and reference diameters for balloon selection. The balloon was filled with contrast medium to provide rapid positioning under fluoroscopy. An on-table postangioplasty duplex scan showed improvement in the lumen contour and confirmed a reduction in the peak systolic velocity. At the 1-year follow-up, the patient reports no symptoms referable to the treated segment. CONCLUSIONS: The combination of ultrasound and fluoroscopy facilitated quick and efficient balloon dilation of an isolated iliac lesion without the use of any contrast medium. |
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Authors:
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C Cook; M Rees |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists Volume: 8 ISSN: 1526-6028 ISO Abbreviation: J. Endovasc. Ther. Publication Date: 2001 Dec |
Date Detail:
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Created Date: 2002-01-18 Completed Date: 2002-05-21 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100896915 Medline TA: J Endovasc Ther Country: United States |
Other Details:
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Languages: eng Pagination: 648-51 Citation Subset: IM |
Affiliation:
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Department of Clinical Radiology, Bristol Royal Infirmary, England, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Angioplasty, Balloon
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methods* Arterial Occlusive Diseases / radiography, therapy*, ultrasonography Contrast Media / adverse effects Drug Hypersensitivity / etiology Fluoroscopy Humans Iliac Artery* / radiography, ultrasonography Intermittent Claudication / radiography, therapy*, ultrasonography Leg / blood supply Male Middle Aged Radiography, Interventional / methods Ultrasonography, Doppler, Duplex Ultrasonography, Interventional / methods |
| Chemical | |
Reg. No./Substance:
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0/Contrast Media |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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