Nagaoka Masakazu, Tsumuraya Naoko, Nie Masaki, Ikari Yuji
Department of Cardiology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan.
Tokai J Exp Clin Med. 2016 Sep 20;41(3):152-5.
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.
某些患者对碘化造影剂过敏的情况可能会妨碍在此类病例中使用经皮冠状动脉介入治疗（PCI）。我们报告一名53岁男性，有对碘化造影剂过敏反应史，其成功接受了血管内超声（IVUS）引导下的PCI。支架尺寸根据IVUS确定。PCI术后，通过IVUS确认了支架扩张情况以及无边缘夹层或贴壁不良。因此，在对碘化造影剂过敏的特定患者中，在IVUS引导下不注射造影剂进行PCI可能是可行的。
