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The use of gadolinium in patients with contrast allergy or renal failure requiring coronary angiography, coronary intervention, or vascular procedure

Authors

  • Layth Saleh MD,

    1. Division of Cardiology, The Southern Arizona VA Health Care System, Tucson
    2. Arizona and Division of Cardiology, University of Arizona College of Medicine, Tucson, Arizona
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  • Elizabeth Juneman MD,

    1. Division of Cardiology, The Southern Arizona VA Health Care System, Tucson
    2. Arizona and Division of Cardiology, University of Arizona College of Medicine, Tucson, Arizona
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  • Mohammad Reza Movahed MD, PhD, FACP, FACC, FSCAI

    Corresponding author
    1. Division of Cardiology, The Southern Arizona VA Health Care System, Tucson
    2. Arizona and Division of Cardiology, University of Arizona College of Medicine, Tucson, Arizona
    • Professor of Medicine, The Southern Arizona VA Health Care System, and the University of Arizona Sarver Heart Center, 1501 North Campbell Avenue, Tucson, AZ 85724
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  • Conflict of interest: Nothing to report.

Abstract

Coronary artery angiography remains an important procedure for the assessment of coronary arteries. It requires injection of iodinated contrast for the opacification of coronary arteries. Severe allergy to iodine contrast and renal insufficiency are two main problems with iodine-based contrast media. Gadolinium (Gd) has different chemical structure with no cross reactivity with iodine-based contrast media in patients with iodine allergy. The use of Gd is commonly used in contrast-enhanced magnetic resonance imaging for image enhancement, making it a potential alternative in patients in whom iodine is contraindicated. The aim of this manuscript is to review the available literature on the use of Gd in patients with contraindication to iodine contrast due to allergy or in patients with severe renal failure requiring coronary or vascular procedures. © 2011 Wiley-Liss, Inc.

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