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 casss 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.
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Katayama H, Yamaguchi K, Kozuka T, Takashima T, Seez P, Matsuura K. Adverse reactions to ionic and nonionic contrast media. A report from the Japanese Committee on the Safety of Contrast Media. Radiology 1990; 175: 621–8.
Robertson HJ. Blood clot formation in angiographic syringes containing nonionic contrast media. Radiology 1987; 162: 621–2.
Scheller B, Hennen B, Pohl A, Schieffer H, Markwirth T. Acute and subacute stent occlusion risk-reduction by ionic contrast media. Eur Heart J 2001; 22: 385–91.
Piessens JH, Stammen F, Vrolix MC, Glazier JJ, Benit E, De Geest H, et al. Effects of an ionic versus a nonionic low osmolar contrast agent on the thrombotic complications of coronary angioplasty. Cathet Cardiovasc Diagn 1993; 28: 99–105.
Granger CB, Gabriel DA, Reece NS, Boothroyd E, Harding MB, Harrison JK, et al. Fibrin modification by ionic and nonionic contrast media during cardiac catheterization. Am J Cardiol 1992; 69: 821–3.
Gabriel DA, Jones MR, Reece NS, Boothroyd E, Bashore T. Platelet and fibrin modification by radiographic contrast media. Circ Res 1991; 68: 881–7.
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Read at the 4th Annual Meeting of the Japanese Association for Coronary Artery Surgery, Hiroshima, July 1–2 1999.
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Tomizawa, Y., Endo, M., Nishida, H. et al. Acute occlusion of coronary artery bypass graft with nonionic contrast medium. Jpn J Thorac Cardiovasc Surg 50, 181–183 (2002). https://doi.org/10.1007/BF02913202
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DOI: https://doi.org/10.1007/BF02913202