Acute occlusion of coronary artery bypass graft with nonionic contrast medium.
The use of nonionic contrast media should be beneficial in patients with cardiac disease because such media are less chemotoxic. Using iopamidol under heparinization, we treated 4 cases of acute thromboembolic occurrence including occlusion of coronary artery bypass grafts and associated native coronary arteries. While the majority of patients do not experience this complication, care must be taken to avoid major adverse effects.
Tomizawa
Yasuko
Y
Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan.
Endo
Masahiro
M
Nishida
Hiroshi
H
Koyanagi
Hitoshi
H
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D003287:Contrast Media / Q000009:adverse effects*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000379:methods; D003328:Coronary Thrombosis / Q000139:chemically induced* / Q000628:therapy; D005260:Female; D006801:Humans; D007479:Iopamidol / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged
D003287:Contrast Media; D007479:Iopamidol