Successful rapid intravenous desensitization for radioiodine contrast allergy in a patient requiring urgent coronary angiography

Successful rapid intravenous desensitization for radioiodine contrast allergy in a patient requiring urgent coronary angiography

The patient's cardiac history was significant for prior coronary artery bypass graft surgery, severe aortic stenosis that necessitated transapical aortic valve replacement, and dual-chamber pacemaker insertion for symptomatic sinus pauses. Upon initial injection of RCM while attempting to intub...

Full description

Saved in:
Bibliographic Details
Published in:The journal of allergy and clinical immunology in practice (Cambridge, MA) Vol. 2; no. 1; p. 101
Main Authors: Gandhi, Sumeet, Litt, Dhanjit, Chandy, Mark, Nguyen, Bao M, Jindal, Nina Lakhani, Tarlo, Susan M, Overgaard, Christopher B
Format: Journal Article
Language:English
Published: Amsterdam Elsevier Limited 01-01-2014
Subjects:
Allergies
Angioplasty
Asthma
Contrast agents
Coronary vessels
Drug dosages
Medical imaging
Pain
Veins & arteries
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The patient's cardiac history was significant for prior coronary artery bypass graft surgery, severe aortic stenosis that necessitated transapical aortic valve replacement, and dual-chamber pacemaker insertion for symptomatic sinus pauses. Upon initial injection of RCM while attempting to intubate the left main coronary artery, our patient's blood pressure dropped to 65/30 mm Hg, and she required intravenous fluids, hydrocortisone, epinephrine, emergent intubation, and intra-aortic balloon pump insertion.
ISSN:2213-2198
2213-2201
DOI:10.1016/j.jaip.2013.06.016