Balloon-occlusion Retrograde Transvenous Obliteration Using Gadoteridol As an Alternative Contrast Agent in a Patient with Iodine Allergy.
Intern Med
; 63(8): 1099-1103, 2024 Apr 15.
Article
em En
| MEDLINE
| ID: mdl-37690844
ABSTRACT
A 70-year-old woman with liver cirrhosis presented with gastric varices and recurrent hepatic encephalopathy. Magnetic resonance imaging (MRI) showed a splenorenal shunt, and balloon-occluded retrograde transvenous obliteration (B-RTO) was indicated but could not be performed due to iodine allergy. We then performed B-RTO using gadoteridol, an MRI contrast medium, instead of iodine contrast and successfully occluded the shunt vessel. After the procedure, hepatic encephalopathy did not recur, and the size of the gastric varices was reduced. This experience may aid in the management of iodine-allergic patients requiring interventional radiological treatment.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Compostos Organometálicos
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Varizes Esofágicas e Gástricas
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Encefalopatia Hepática
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Oclusão com Balão
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Compostos Heterocíclicos
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Hipersensibilidade
Limite:
Aged
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Female
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Humans
Idioma:
En
Revista:
Intern Med
Ano de publicação:
2024
Tipo de documento:
Article