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Gadolinium-based coronary angiography in a patient with prior known anaphylaxis to iodine-based dye
- Source :
- Journal of Community Hospital Internal Medicine Perspectives, Vol 11, Iss 2, Pp 286-288 (2021)
- Publication Year :
- 2021
- Publisher :
- Greater Baltimore Medical Center, 2021.
-
Abstract
- Gadodiamide is a gadolinium-based chemical element that is considered safe and well tolerated in patients without renal dysfunction and is therefore routinely used as a contrast agent in magnetic resonance imaging. Although radio-opaque, it is not frequently used for coronary angiography due to its less than optimal image quality and prohibitive cost. Our center’s previous experience was less than satisfactory but the addition of a power injection system yielded good quality diagnostic images. We report a case of 63 years old male with a known history of severe, life-threatening anaphylactic reaction to previous iodinated dye presenting with persistent angina despite optimal medical therapy. Coronary and bypass graft angiography was performed using 24 cc of undiluted Gadodiamide (OMNISCAN) with a power injector (ACIST®) without any incidents or premedication with an interpretable angiogram.
Details
- Language :
- English
- ISSN :
- 20009666
- Volume :
- 11
- Issue :
- 2
- Database :
- Directory of Open Access Journals
- Journal :
- Journal of Community Hospital Internal Medicine Perspectives
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.94ac062adf54e5daf991acfb1bb1cfa
- Document Type :
- article
- Full Text :
- https://doi.org/10.1080/20009666.2021.1890337