American Journal of Medical and Clinical Sciences. 2022;
7(1):(64-135)
Intravascular Ultrasound-Guided Percutaneous Coronary Intervention Using Gadolinium Contrast Medium
Francisco J. Guerrero-Márquez and José María Cubero Gómez
Abstract
Materials and Methods: We present the first case series of patients undergoing percutaneous coronary intervention in which gadolinium was used as contrast medium and the procedure was guided by IVUS
Results: We report the experience of our center, based on three patients with contraindication to iodinated contrasts who underwent IVUS-guided percutaneous transluminal coronary angioplasty using gadolinium and did not present with significant complications.
Discussion and Conclusions: In cases where percutaneous coronary angioplasty is performed, high contrast doses are usually required. Intracoronary diagnostic techniques such as intravascular ultrasound (IVUS) can help reduce the contrast dose and provide great advantages during the intervention, improving the results.