• Circ. J. · Oct 2004

    Case Reports

    Gadopentetate dimeglumine as a potential alternative contrast medium during percutaneous coronary intervention: a case report.

    • Shinichi Furuichi, Satoshi Yasuda, Yukio Arita, Masami Miyawaki, Kei Nomura, Hiroshi Nonogi, and Takashi Shindo.
    • Division of Cardiology, Department of Medicine, Sumitomo Hospital, Japan. sfuruich@hsp.ncvc.go.jp
    • Circ. J. 2004 Oct 1; 68 (10): 972-3.

    BackgroundThere have not been previous reports of patients undergoing percutaneous coronary intervention (PCI) using a gadolinium chelate.Methods And ResultsA 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.ConclusionsGadolinium chelates can be an alternative contrast media during PCI in particular patients with contraindications to iodinated media.

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