Gadolinium-enhanced angiography for diagnosis and interventional treatment of subclavian artery stenosis prior to fistula creation.

Abstract

We report the use of gadolinium-based contrast agent for both diagnostic and interventional subclavian angiography in two azotemic patients, presenting with an asymptomatic, high-grade stenosis of the left subclavian artery, ipsilateral to the site of choice for native fistula creation. Angiographic imaging performed with diluted gadolinium-based contrast material was clear enough to perform successful subclavian artery stenting, resulting in normalization of the arterial blood pressure in the afferent artery of the dialysis fistula. Clinically, no decrease in residual renal function and no other complication were noted immediately or a longer period after the interventional treatment.

• Authors: Bruno Termote, Geert Maleux, Sam Heye, Inge Fourneau, Kathleen Claes
• Journal: Cardiovascular and interventional radiology (Cardiovasc Intervent Radiol) Vol. 31 Suppl 2 Pg. S48-52 (Jul 2008) ISSN: 1432-086X [Electronic] United States
• PMID: 17659421 (Publication Type: Case Reports, Journal Article)

Chemical References

• Contrast Media
• Heterocyclic Compounds
• Organometallic Compounds
• gadolinium 1,4,7,10-tetraazacyclododecane-N,N',N'',N'''-tetraacetate

Topics

• Aged
• Angiography, Digital Subtraction
• Angioplasty, Balloon
• Arm (blood supply)
• Arteriovenous Shunt, Surgical
• Contrast Media
• Female
• Heterocyclic Compounds
• Humans
• Magnetic Resonance Angiography
• Male
• Middle Aged
• Organometallic Compounds
• Radiography, Interventional
• Subclavian Steal Syndrome (diagnosis, therapy)