A case of Gadolinium-based contrast agent combined with intravascular ultrasound for successful percutaneous coronary intervention in a patient with severe allergy to iodine contrast agent
10.3969/j.issn.1004-8812.2025.05.009
- VernacularTitle:钆对比剂联合血管内超声为碘对比剂严重过敏患者成功完成经皮冠状动脉介入治疗1例
- Author:
Xin LIU
1
;
Zhi-yuan WANG
;
Guo-hui LIU
;
Hong ZENG
;
Xiang-dong LI
Author Information
1. 吉林大学中日联谊医院心血管内科,吉林长春 130000
- Publication Type:Journal Article
- Keywords:
Gadolinium-based contrast agent;
Iodine contrast allergy;
Coronary angiography;
Percutaneous coronary intervention;
Intravascular ultrasound
- From:
Chinese Journal of Interventional Cardiology
2025;33(5):295-300
- CountryChina
- Language:Chinese
-
Abstract:
Conventional X-ray coronary angiography using iodinated contrast media is the gold standard technique for diagnosing coronary artery disease and determining treatment strategies,including percutaneous coronary intervention(PCI).However,severe allergy to iodinated contrast agents and renal insufficiency,as well as severely hyperthyroid patients,limit the use of iodinated contrast agents,especially in the face of acute coronary syndromes requiring emergency PCI.Gadolinium-based contrast agent is mainly developed for use in magnetic resonance imaging examinations,and there are few studies on whether it can be used for coronary angiography.We report a case of a patient who had a severe allergic reaction to an iodine contrast agent,and ultimately had a successful complex coronary intervention guided by the application of Gadolinium-based contrast agent combined with intravascular ultrasound.This case and a review of the relevant literature provide new ideas for coronary artery examination and treatment in patients with contraindications to iodine.
