Intravascular ultrasound complements the diagnostic capability of carbon dioxide digital subtraction angiography for patients with allergies to iodinated contrast medium
| Autor: | Takanori Kusuyama, Hideya Mitsui, Hidetaka Iida |
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| Rok vydání: | 2012 |
| Předmět: |
Male
Target lesion medicine.medical_specialty medicine.medical_treatment Iodine Compounds Contrast Media Constriction Pathologic Radiography Interventional Peripheral Arterial Disease Iodinated contrast Predictive Value of Tests Angioplasty Intravascular ultrasound medicine Humans Stent implantation Radiology Nuclear Medicine and imaging Ultrasonography Interventional medicine.diagnostic_test business.industry Angiography Digital Subtraction Stent General Medicine Digital subtraction angiography Carbon Dioxide Middle Aged equipment and supplies Femoral Artery body regions Stevens-Johnson Syndrome Angiography Stents Radiology Cardiology and Cardiovascular Medicine business Angioplasty Balloon |
| Zdroj: | Catheterization and Cardiovascular Interventions. 80:E82-E86 |
| ISSN: | 1522-1946 |
| DOI: | 10.1002/ccd.24577 |
| Popis: | Carbon dioxide digital subtraction angiography (CO2 DSA) is a useful and safe alternative for patients with renal dysfunction or allergies to iodinated contrast medium. However, CO2 DSA image quality is worse than that of angiography with iodinated contrast medium, primarily because of movement during imaging and stent struts. In angioplasty of arteries of the lower extremities, CO2 DSA cannot be used to sufficiently evaluate target lesions and determine the most efficient intervention. However, in the current case report, we describe a patient with severe allergies to iodinated contrast medium (Stevens–Johnson syndrome), because of which we were unable to use any iodinated contrast medium when conducting angioplasty. Therefore, we used intravascular ultrasound (IVUS), which facilitated the complete observation of the target lesion after stent implantation without requiring iodinated contrast medium. In this case, IVUS was used to complement the diagnostic capabilities of CO2 DSA. © 2012 Wiley Periodicals, Inc. |
| Databáze: | OpenAIRE |
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