Gadolinium' as an Alternative to Iodinated Contrast Media for X-Ray Angiography in Patients With Severe Allergy

Some patients cannot undergo coronary angiography (CAG) because of the adverse effects of contrast media. In the present study gadolinium, (gadodiamide hydrate: Gd DTPA-BMA) commonly used for magnetic resonance imaging (MRI), was used as the contrast agent for diagnostic CAG in 3 patients with sever...

Full description

Saved in:
Bibliographic Details
Published in:Circulation Journal 2005, Vol.69(4), pp.507-509
Main Authors: Ose, Keika, Doue, Tomoki, Zen, Kan, Hadase, Mitsuyoshi, Sawada, Takahisa, Azuma, Akihiro, Matsubara, Hiroaki
Format: Article
Language:English
Subjects:
Aged
Anaphylactoid reaction
Contrast Media - adverse effects
Contrast Media - chemistry
Coronary angiography
Coronary Angiography - methods
Coronary Artery Bypass
Coronary artery disease
Drug Hypersensitivity
Female
Gadolinium
Gadolinium DTPA
Humans
Iodine - adverse effects
Male
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Some patients cannot undergo coronary angiography (CAG) because of the adverse effects of contrast media. In the present study gadolinium, (gadodiamide hydrate: Gd DTPA-BMA) commonly used for magnetic resonance imaging (MRI), was used as the contrast agent for diagnostic CAG in 3 patients with severe allergy to iodine or iodinated contrast agents. The indications for CAG were recurrent chest pain, evaluation of peri-operative risk of gastric cancer and abdominal aortic aneurysm, and evaluation of graft patency after coronary artery bypass grafting. The procedure was well tolerated by each patient and the amount of the gadolinium-based contrast media did not exceed 40 ml, which is twice the volume used for MRI. The images were of fair quality. In patients with allergy to iodinated contrast media, CAG with gadolinium-based contrast media is an alternative technique for evaluating coronary artery disease. (Circ J 2005; 69: 507 - 509)
ISSN:1346-9843
1347-4820
DOI:10.1253/circj.69.507