Combination Gadolinium Angiography and Intravascular Ultrasound Study for Coronary Artery and Graft Assessment.
Document Type
Article
Publication Date
5-13-2025
Publication Title
Journal of the Society for Cardiovascular Angiography & Interventions
Abstract
Contrast allergies may range from minor to life-threatening, such as Stevens-Johnson syndrome, and pose a challenge to obtaining timely coronary angiography. Here, we present a complex patient with a history of 5-vessel coronary artery bypass grafting and end-stage renal disease who required native coronary and bypass graft angiogram prior to listing for renal transplant. Due to a history of iodinated contrast-induced Stevens-Johnson syndrome, this patient was unable to undergo standard angiography. This diagnostic challenge was overcome with the safe, hybrid approach of using intravascular ultrasound to guide minimal administration of gadolinium contrast media to obtain a complete angiography.
Volume
4
Issue
6
First Page
103617
Recommended Citation
Heidel JS, Theeuwes C, Said A, Ahmad SS. Combination gadolinium angiography and intravascular ultrasound study for coronary artery and graft assessment. J Soc Cardiovasc Angiogr Interv. 2025 May 13;4(6):103617. doi: 10.1016/j.jscai.2025.103617. PMID: 40630243
DOI
10.1016/j.jscai.2025.103617
ISSN
2772-9303
PubMed ID
40630243