Tomizawa Yasuko, Endo Masahiro, Nishida Hiroshi, Koyanagi Hitoshi
Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan.
Jpn J Thorac Cardiovasc Surg. 2002 Apr;50(4):181-3. doi: 10.1007/BF02913202.
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.
使用非离子型造影剂对心脏病患者应是有益的,因为这类造影剂的化学毒性较小。我们在肝素化状态下使用碘帕醇治疗了4例急性血栓栓塞事件,包括冠状动脉搭桥移植血管及相关的自身冠状动脉闭塞。虽然大多数患者不会发生这种并发症,但必须注意避免严重不良反应。