Gadolinium-based balloon angioplasty for pulmonary artery stenosis in an infant with a right isomerism.
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.
Sugiyama
Hisashi
H
Department of Pediatrics, Faculty of Medicine, University of Yamanashi, Yamanashi, Japan. shisashi@yamanashi.ac.jp
Kadono
Toshie
T
Hoshiai
Minako
M
Tan
Tetsushi
T
Koizumi
Keiichi
K
Sakamoto
Hajime
H
Nakazawa
Simpei
S
D015901:Angiography, Digital Subtraction; D000800:Angioplasty, Balloon / Q000379:methods*; D002675:Child, Preschool; D003097:Collateral Circulation; D003251:Constriction, Pathologic; D018729:Fontan Procedure; D005682:Gadolinium; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011651:Pulmonary Artery / Q000473:pathology*
D005682:Gadolinium