Gadolinium-based coronary angiography in a patient with prior known anaphylaxis to iodine-based dye
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...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Greater Baltimore Medical Center
2021-03-01
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| Series: | Journal of Community Hospital Internal Medicine Perspectives |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/20009666.2021.1890337 |
| _version_ | 1797972074370695168 |
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| author | Nirmal Guragai Sherif Roman Rahul Vasudev Upamanyu Rampal Preet Randhawa Fayez Shamoon Hartaj Virk Mahesh Bikkina JW Moses Apurva Motivala |
| author_facet | Nirmal Guragai Sherif Roman Rahul Vasudev Upamanyu Rampal Preet Randhawa Fayez Shamoon Hartaj Virk Mahesh Bikkina JW Moses Apurva Motivala |
| author_sort | Nirmal Guragai |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-11T03:42:39Z |
| format | Article |
| id | doaj.art-e94ac062adf54e5daf991acfb1bb1cfa |
| institution | Directory Open Access Journal |
| issn | 2000-9666 |
| language | English |
| last_indexed | 2024-04-11T03:42:39Z |
| publishDate | 2021-03-01 |
| publisher | Greater Baltimore Medical Center |
| record_format | Article |
| series | Journal of Community Hospital Internal Medicine Perspectives |
| spelling | doaj.art-e94ac062adf54e5daf991acfb1bb1cfa2023-01-02T03:38:04ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662021-03-0111228628810.1080/20009666.2021.18903371890337Gadolinium-based coronary angiography in a patient with prior known anaphylaxis to iodine-based dyeNirmal Guragai0Sherif Roman1Rahul Vasudev2Upamanyu Rampal3Preet Randhawa4Fayez Shamoon5Hartaj Virk6Mahesh Bikkina7JW Moses8Apurva Motivala9St Joseph’s University Medical CenterSt Joseph’s University Medical CenterSt Joseph’s University Medical CenterSt. Joseph’s Hospital and Medical CenterSt. Michael’s Medical CenterSt Joseph’s University Medical CenterSt Joseph’s University Medical CenterSt Joseph’s University Medical CenterDepartment of Cardiology New York-Presbyterian Hospital/Columbia University Medical Center, NY, USAEnglewood Hospital and Medical CenterGadodiamide 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.http://dx.doi.org/10.1080/20009666.2021.1890337angiographycomplicationgadolinium useiodine contrast allergypci complicationpercutaneous coronary interventionstentingventricular fibrillation |
| spellingShingle | Nirmal Guragai Sherif Roman Rahul Vasudev Upamanyu Rampal Preet Randhawa Fayez Shamoon Hartaj Virk Mahesh Bikkina JW Moses Apurva Motivala Gadolinium-based coronary angiography in a patient with prior known anaphylaxis to iodine-based dye Journal of Community Hospital Internal Medicine Perspectives angiography complication gadolinium use iodine contrast allergy pci complication percutaneous coronary intervention stenting ventricular fibrillation |
| title | Gadolinium-based coronary angiography in a patient with prior known anaphylaxis to iodine-based dye |
| title_full | Gadolinium-based coronary angiography in a patient with prior known anaphylaxis to iodine-based dye |
| title_fullStr | Gadolinium-based coronary angiography in a patient with prior known anaphylaxis to iodine-based dye |
| title_full_unstemmed | Gadolinium-based coronary angiography in a patient with prior known anaphylaxis to iodine-based dye |
| title_short | Gadolinium-based coronary angiography in a patient with prior known anaphylaxis to iodine-based dye |
| title_sort | gadolinium based coronary angiography in a patient with prior known anaphylaxis to iodine based dye |
| topic | angiography complication gadolinium use iodine contrast allergy pci complication percutaneous coronary intervention stenting ventricular fibrillation |
| url | http://dx.doi.org/10.1080/20009666.2021.1890337 |
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