Successful Angioplasty of Arteriovenous Graft Obstruction Using Gadolinium chelate in a Patient with Iodine Hypersensitivity |
Bong Koo Kang, M.D.1, Byung Soo Kim, M.D.1, Mi Jung Shin, M.D.1, Hee Hun Kim, M.D.1, Hyun Kyung Kim, M.D.1, Young Soo Kim, M.D.1, Sun Ae Yoon, M.D.1, Yoo Dong Won, M.D.2 and Young Ok Kim, M.D.1 |
Department of Internal Medicine1 Radiology2 College of Medicine, The Catholic University of Korea, Seoul, Korea |
증례 : 요오드 과민반응이 있는 인조혈관 동정맥루 폐쇄 환자에서 Gadolinium 조영제를 사용한 성공적인 혈관확장술 |
강봉구1, 김병수1, 신미정1, 김희언1, 김현경1, 김영수1, 윤선애1, 원유동2, 김영옥1 |
가톨릭대학교 의과대학 내과학교실1, 방사선과학교실2 |
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Abstract |
Percutaneous transluminal angioplasty (PTA) using iodine contrast dye has been used as the definitive method of choice for treating hemodialysis vascular access dysfunction. Occasionally, iodine material can not be used in the hemodialysis patients with a history of severe hypersensitivity reactions or the predialysis patients with premature access awaiting hemodialysis treatment. Gadolinium chelates have been reported as an alternative contrast agent for angiography or angioplasty in such patients. Here we report a case of successful angioplasty of arteriovenous graft obstruction using gadolinium chelate (gadopentetate dimeglumine) in a patient with repetitive iodine hypersensitivity reactions. |
Key Words:
Gadolinium, Iodine, Hypersensitivity, Angioplasty |
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