title: Contrast-free diagnosis and treatment of coronary artery disease guided by integrated cardiac imaging: concept and first clinical experience.
abstract: The use of iodinated contrast media (ICM) remains a potential hazard for patients undergoing diagnostic cardiac imaging and percutaneous coronary intervention. In particular patients with history of prior adverse reaction to a contrast agent are at a high risk in case of re-exposure, even if designated premedication is administered. Based on a patient with recurrent angina pectoris and history of systemic anaphylactic reaction to ICM, we describe the logical stepwise approach from diagnostic imaging to safe and successful imaging guided percutaneous coronary intervention without the use of contrast agent.
authors.affiliation: Department of Advanced Cardiovascular Therapeutics, Osaka University Graduate School of Medicine, 2-2 Yamada-oka Suita, Osaka, 565-0871, Japan.
authors.forename: Patrick T
authors.initials: PT
authors.lastname: Siegrist
authors.affiliation: Department of Advanced Cardiovascular Therapeutics, Osaka University Graduate School of Medicine, 2-2 Yamada-oka Suita, Osaka, 565-0871, Japan. satoru@sumi2g.sakura.ne.jp.
authors.forename: Satoru
authors.initials: S
authors.lastname: Sumitsuji
authors.affiliation: Department of Advanced Cardiovascular Therapeutics, Osaka University Graduate School of Medicine, 2-2 Yamada-oka Suita, Osaka, 565-0871, Japan.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Kumada
authors.affiliation: Department of Advanced Cardiovascular Therapeutics, Osaka University Graduate School of Medicine, 2-2 Yamada-oka Suita, Osaka, 565-0871, Japan.
authors.forename: Hideaki
authors.initials: H
authors.lastname: Kaneda
authors.affiliation: Department of Advanced Cardiovascular Therapeutics, Osaka University Graduate School of Medicine, 2-2 Yamada-oka Suita, Osaka, 565-0871, Japan.
authors.forename: Kouichi
authors.initials: K
authors.lastname: Tachibana
authors.affiliation: Department of Advanced Cardiovascular Therapeutics, Osaka University Graduate School of Medicine, 2-2 Yamada-oka Suita, Osaka, 565-0871, Japan.
authors.forename: Shinsuke
authors.initials: S
authors.lastname: Nanto
mesh_terms: D000368:Aged; D055426:Cardiac-Gated Single-Photon Emission Computer-Assisted Tomography; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000175:diagnosis* / Q000628:therapy*; D003331:Coronary Vessels / Q000000981:diagnostic imaging; D004562:Electrocardiography; D005471:Fluoroscopy; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D014057:Tomography, X-Ray Computed; D018084:Ultrasonography, Interventional
keywords: Anaphylaxis to iodinated contrast media; Cardiac imaging; IVUS-guided PCI