Bilateral Renal Artery Stenosis with Renal Insufficiency: Successful Angioplasty Using Gadopentetate Dimeglumine as a Contrast Agent.
- Author:
Sook Hee HONG
1
;
Ha Hun SONG
;
Sun Ae YOON
;
Young Ok KIM
;
Sung Jin MOON
;
Young Soo KIM
;
Ki Yuk CHANG
;
Yoon Sik CHANG
;
Byung Kee BANG
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. cmckyo@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Gadopentetate dimeglumine;
Radiocontrast nephropathy;
Bilateral renal artery stenosis;
Flash pulmonary edema
- MeSH:
Acute Kidney Injury;
Angiography;
Angioplasty*;
Gadolinium;
Gadolinium DTPA*;
Humans;
Magnetic Resonance Imaging;
Pentetic Acid;
Renal Artery Obstruction*;
Renal Artery*;
Renal Insufficiency*
- From:Korean Journal of Nephrology
2003;22(5):602-607
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
With the increasing number of interventional angiographic procedures, iodinated contrast induced nephropathy has become an important cause of iatrogenic acute renal failure. Gadopentetate dimeglumine, gadolinium chelated by DTPA, are widely used in magnetic resonance imaging without adverse effect on renal function in patients with renal insufficiency. It also has sufficient radiographic density to allow visualization and has been described as an alternative contrast agent for angiography. Here we report a case of successful angioplasty using gadopentetate dimeglumine as a contrast agent in a patient with both renal artery stenosis and renal insufficiency. The patient had a history of iodinated contrast induced acute renal failure. Using this contrast agent, angioplasty was successfully performed and contrast induced acute renal failure did not occur after this procedure.
