Gadolinium-based balloon angioplasty for pulmonary artery stenosis in an infant with a right isomerism. |
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Authors: | Hisashi Sugiyama Toshie Kadono Minako Hoshiai Tetsushi Tan Keiichi Koizumi Hajime Sakamoto Simpei Nakazawa |
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Institution: | Department of Pediatrics, Faculty of Medicine, University of Yamanashi, Yamanashi, Japan. shisashi@yamanashi.ac.jp |
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Abstract: | We report here the first described case of utilizing gadolinium-based contrast material as the contrast agent during a catheter intervention treatment for pulmonary artery stenosis. The patient, a male infant with complex heart disease associated with a right isomerism, had a history of severe allergic reaction to iodine-containing contrast agents. A combination of digital subtraction angiography and a gadolinium contrast agent, however, provided us with good-quality images both before and after balloon angioplasty without any associated complications. This method should therefore be considered as an alternative angiographic procedure in children with a high risk of iodine-related allergic complications. |
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Keywords: | vascular complication compression |
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