Gadodiamide as an alternative contrast agent in intravenous digital subtraction angiography and interventional procedures of the upper extremity veins

Cardiovasc Intervent Radiol. Jan-Feb 2002;25(1):49-52. doi: 10.1007/s00270-001-0083-x. Epub 2002 Jan 9.

Abstract

Purpose: Patients with renal insufficiency or other contraindications to iodine-based contrast agents present a significant management dilemma when angiography or interventional procedures are required. We describe the use of gadolinium as an alternative contrast agent for intravenous digital subtraction angiography (IV-DSA) and interventional procedures of the upper extremity veins.

Methods: Sixteen patients with symptoms of with moderate renal insufficiency underwent digital subtraction angiography for upper extremity and subclavian venography. Angiographic studies were obtained using gadolinium as a contrast agent. In six patients we used stents.

Results: Diagnostic images were obtained in all cases. No patient suffered a complication related to the use of gadolinium, and no patient demonstrated worsened renal function after the procedure.

Conclusion: In the setting of a contraindication to iodine-based contrast agents, gadolinium represents an important alternative contrast material that allows for the visualization of and interventional procedures in the upper extremity veins.

MeSH terms

  • Angiography, Digital Subtraction*
  • Arm / blood supply*
  • Contrast Media*
  • Female
  • Gadolinium DTPA*
  • Humans
  • Injections, Intravenous
  • Male
  • Middle Aged
  • Radiology, Interventional
  • Renal Insufficiency
  • Veins

Substances

  • Contrast Media
  • gadodiamide
  • Gadolinium DTPA