title: Zero Contrast Coronary Intervention Using Intravascular Ultrasound Guidance in a Patient with Allergy to Contrast Medium.
abstract: The occurrence of allergy to iodinated contrast in certain patients may prevent the use of percutaneous coronary intervention (PCI) in such cases. We present a 53-year-old male with a history of allergic reaction to iodinated contrast who successfully underwent intravascular ultrasound (IVUS) guided PCI. Stent size was determined based on IVUS. After PCI, stent expansion and a lack of edge dissection or incomplete apposition were confirmed by IVUS. Thus, PCI without contrast injection under IVUS may be feasible in selected patients with allergy to iodinated contrast.
authors.forename: Masakazu
authors.initials: M
authors.lastname: Nagaoka
authors.forename: Naoko
authors.initials: N
authors.lastname: Tsumuraya
authors.forename: Masaki
authors.initials: M
authors.lastname: Nie
authors.affiliation: Department of Cardiology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan. ikari@is.icc.u-tokai.ac.jp.
authors.forename: Yuji
authors.initials: Y
authors.lastname: Ikari
mesh_terms: D000075202:Contraindications; D003287:Contrast Media / Q000009:adverse effects*; D017023:Coronary Angiography; D004342:Drug Hypersensitivity / Q000209:etiology* / Q000517:prevention & control; D006801:Humans; D007479:Iopamidol / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D015607:Stents; D025321:Surgery, Computer-Assisted; D018084:Ultrasonography, Interventional
chemical_list: D003287:Contrast Media; D007479:Iopamidol