Cerebral 3D-Gadolinium-DSA in a Patient with Renal Insufficiency Presenting a Subarachnoid Haemorrhage

Autor: A. Robert, J.-F. Bonneville, M. Jacamon, J. Ferreira, F. Bonneville
Rok vydání: 2002
Předmět:
Zdroj: Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences. 8(2)
ISSN: 1591-0199
Popis: Contra-indications to iodinated contrast media injection are well-known and include patients with sensitivity to iodinated contrast medium, renal insufficiency, pregnancy, breastfeeding, diabetes mellitus treated by biguanides, and patients on beta-blockers1,2. When a digital subtracted angiography (DSA) is required in such patients, Gadolinium chelates have been successfully proposed as alternative contrast agents 3-12. Cerebral 3D-DSA brings crucial information in the pre-therapeutic analysis of intracranial aneurysm and is therefore highly recommended when such an abnormality is encountered. We report here a case of a non-dialysed patient with renal failure due to polycystosis, who presented with a subarachnoid hemorrhage and underwent cerebral DSA and 3D-DSA with Gadolinium as the contrast agent, to seek for, assess and then embolize two cerebral aneurysms.
Databáze: OpenAIRE