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冠状动脉搭桥移植血管急性闭塞与非离子型造影剂

Acute occlusion of coronary artery bypass graft with nonionic contrast medium.

作者信息

Tomizawa Yasuko, Endo Masahiro, Nishida Hiroshi, Koyanagi Hitoshi

机构信息

Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan.

出版信息

Jpn J Thorac Cardiovasc Surg. 2002 Apr;50(4):181-3. doi: 10.1007/BF02913202.

DOI:10.1007/BF02913202
PMID:11993202
Abstract

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.

摘要

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。

相似文献

1
Acute occlusion of coronary artery bypass graft with nonionic contrast medium.冠状动脉搭桥移植血管急性闭塞与非离子型造影剂
Jpn J Thorac Cardiovasc Surg. 2002 Apr;50(4):181-3. doi: 10.1007/BF02913202.
2
A randomized trial comparing the impact of a nonionic (Iomeprol) versus an ionic (Ioxaglate) low osmolar contrast medium on abrupt vessel closure and ischemic complications after coronary angioplasty.一项随机试验,比较非离子型(碘海醇)与离子型(碘克沙醇)低渗造影剂对冠状动脉成形术后血管突然闭塞和缺血性并发症的影响。
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Influence of contrast media on thrombus formation during coronary angioplasty.
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Catastrophic thrombus development despite systemic heparinization during coronary angioplasty: possible relationship to nonionic contrast.
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Percutaneous coronary angioscopic comparison of thrombus formation during percutaneous coronary angioplasty with ionic and nonionic low osmolality contrast media in unstable angina.不稳定型心绞痛患者经皮冠状动脉成形术中使用离子型和非离子型低渗造影剂时血栓形成的经皮冠状动脉血管镜比较
Am J Cardiol. 1997 Sep 15;80(6):700-4. doi: 10.1016/s0002-9149(97)00498-0.

本文引用的文献

1
Acute and subacute stent occlusion; risk-reduction by ionic contrast media.急性和亚急性支架闭塞;离子型造影剂降低风险的作用
Eur Heart J. 2001 Mar;22(5):385-91. doi: 10.1053/euhj.2000.2319.
2
Effects of an ionic versus a nonionic low osmolar contrast agent on the thrombotic complications of coronary angioplasty.离子型与非离子型低渗造影剂对冠状动脉成形术血栓形成并发症的影响。
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Adverse reactions to ionic and nonionic contrast media. A report from the Japanese Committee on the Safety of Contrast Media.离子型和非离子型造影剂的不良反应。日本造影剂安全委员会的报告。
Radiology. 1990 Jun;175(3):621-8. doi: 10.1148/radiology.175.3.2343107.
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Fibrin modification by ionic and nonionic contrast media during cardiac catheterization.
Am J Cardiol. 1992 Mar 15;69(8):821-3. doi: 10.1016/0002-9149(92)90517-3.