Endovascular treatment of a critical common iliac artery stenosis using intravascular ultrasound guidance in a patient with a known severe iodine contrast allergy
| العنوان: | Endovascular treatment of a critical common iliac artery stenosis using intravascular ultrasound guidance in a patient with a known severe iodine contrast allergy |
|---|---|
| المؤلفون: | Charles Fee, Katharine Lewis |
| المصدر: | Ultrasound. :1742271X2211477 |
| بيانات النشر: | SAGE Publications, 2023. |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | Radiological and Ultrasound Technology, Radiology, Nuclear Medicine and imaging |
| الوصف: | Introduction: The mainstay of endovascular treatment in peripheral arterial disease is digital subtraction angiography with an iodinated contrast. In patients with a known contrast allergy, the current most commonly used alternative is to perform carbon dioxide angiography. Operator experience and availability of carbon dioxide (CO2) angiography delivery systems are, however, limited. Intravascular ultrasound is now commonly used in combination with fluoroscopy in peripheral venous interventions and in coronary arterial disease and we propose that this also provides a safe and effective alternative option to guide endovascular intervention in patients with a known contrast allergy. Case report: We present a case describing the use of intravascular ultrasound and fluoroscopy to guide endovascular treatment of a critical left common iliac artery stenosis in a patient with known anaphylaxis to iodinated contrast. Discussion: Intravascular ultrasound is fast becoming the gold standard treatment option in peripheral venous interventions; however, the use in peripheral arterial disease is limited. We believe this is the first case that reports the use of predominantly intravascular ultrasound in endovascular peripheral arterial intervention with a contrast adjunct. Conclusion: We have demonstrated that intravascular ultrasound is a safe and effective alternative or adjunct to iodinated contrast for arterial angiography and stenting in the setting of patient contra-indications. |
| تدمد: | 1743-1344 1742-271X |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_________::756e6548ac90c94f6a02c57d69eae404Test https://doi.org/10.1177/1742271x221147721Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi...........756e6548ac90c94f6a02c57d69eae404 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17431344 1742271X |
|---|