%0 Journal Article
%T Gadolinium to the rescue for mechanical thrombectomy in acute ischemic stroke
%A Andrew W Grande
%A Bharathi D Jagadeesan
%A Coridon Quinn
%A Huseyin Tore
%A Ramachandra P Tummala
%A Shailesh Male
%A Tapan Mehta
%J Interventional Neuroradiology
%@ 2385-2011
%D 2019
%R 10.1177/1591019918815298
%X Mechanical thrombectomy in the setting of acute ischemic stroke (AIS) requires cerebral digital subtraction angiography (DSA), typically performed with iodinated contrast medium. We present a case of emergent cerebral DSA and mechanical thrombectomy using gadolinium-based contrast for cerebral DSA in a patient with a history of anaphylaxis to iodinated contrast agents (ICs). A 72-year-old man developed left ventricle assist device thrombus while on anticoagulation. During hospitalization he suffered right middle cerebral artery occlusion with a National Institutes of Health stroke scale score of 10. He had a history of anaphylaxis and the advanced directives revealed do not resuscitate/do not intubate status. We performed an emergent DSA as part of thrombectomy procedure using gadolinium-based contrast mixed in 1:1 proportion with normal saline. The images obtained were of adequate quality and the patient underwent successful thrombectomy with modified thrombolysis in cerebral infarction 2B recanalization. Gadolinium-based contrast agents could be effective alternatives for cerebral DSA in patients undergoing mechanical thrombectomy for AIS who have a history of anaphylactic reaction to ICs
%K Gadolinium
%K stroke
%K thrombectomy
%K angiogram
%K contrast
%K allergy
%U https://journals.sagepub.com/doi/full/10.1177/1591019918815298