The use of gadolinium in patients with contrast allergy or renal failure requiring coronary angiography, coronary intervention, or vascular procedure

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

Coronary artery angiography remains an important procedure for the assessment of coronary arteries. It requires injection of iodinated contrast for the opacification of coronary arteries. Severe allergy to iodine contrast and renal insufficiency are two main problems with iodine-based contrast media. Gadolinium (Gd) has different chemical structure with no cross reactivity with iodine-based contrast media in patients with iodine allergy. The use of Gd is commonly used in contrast-enhanced magnetic resonance imaging for image enhancement, making it a potential alternative in patients in whom iodine is contraindicated. The aim of this manuscript is to review the available literature on the use of Gd in patients with contraindication to iodine contrast due to allergy or in patients with severe renal failure requiring coronary or vascular procedures.

Original languageEnglish (US)
Pages (from-to)747-754
Number of pages8
JournalCatheterization and Cardiovascular Interventions
Volume78
Issue number5
DOIs
StatePublished - Nov 1 2011

Keywords

  • PCI complication
  • angiography
  • contrast allergy
  • gadolinium use
  • iodine contrast allergy
  • percutaneous coronary intervention
  • stenting

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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