A case report of gadopentetate dimeglumine‐induced cardiac arrest: Resuscitation using extracorporeal membrane oxygenation

• Published in: Annals of noninvasive electrocardiology Vol. 28; no. 3; pp. e13039 - n/a
• Main Authors: Fang, Honglong, Chen, Juan, Luo, Jian, Li, Zhangping, Zhang, Weiwen
• Format: Journal Article
• Language: English
• Published: United States John Wiley & Sons, Inc 01.05.2023; John Wiley and Sons Inc; Wiley
• Subjects: Allergies; Anaphylaxis; Blood pressure; Cardiac arrest; Cardiac arrhythmia; Cardiopulmonary Resuscitation; Case Report; Case Reports; Complications; CPR; Drug dosages; Edema; Electrocardiography - adverse effects; Emergency medical care; Erythema; Extracorporeal membrane oxygenation; Extracorporeal Membrane Oxygenation - adverse effects; Extracorporeal Membrane Oxygenation - methods; Gadolinium; Gadolinium DTPA; Gadopentetate dimeglumine; Heart; Heart Arrest - etiology; Heart Arrest - therapy; Heart Arrest, Induced - adverse effects; Humans; Immunology; Intensive care; Literature reviews; Magnetic resonance imaging; Male; Membranes; Neurological complications; Neurological diseases; Oxygenation; Patients; Respiratory distress syndrome; Tightness; Ventilators; case report; extracorporeal membrane oxygenation; gadopentetate dimeglumine; cardiac arrest
• ISSN: 1082-720X; 1542-474X; 1542-474X
• DOI: 10.1111/anec.13039

Gadopentetate dimeglumine (Gd‐DTPA) is commonly used for enhancement in magnetic resonance imaging, but rarely causes serious adverse reactions. The patient presented in this report had a cardiac arrest and multiple organ dysfunction syndrome within a short time after administration of Gd‐DTPA. Immediately after receiving an intravenous injection of Gd‐DTPA, the patient felt nausea and chest tightness, and developed systemic erythema. He was successfully treated using veno‐arterial extracorporeal membrane oxygenation (ECMO) combined with continuous renal replacement therapy without any serious complications or neurological deficits. We report a patient who was successfully treated for Gd‐DTPA‐induced cardiac arrest with ECMO. Thus, ECMO may be an effective treatment for cardiac arrest secondary to anaphylaxis. We report a patient who was successfully treated for Gd‐DTPA‐induced cardiac arrest with veno‐arterial extracorporeal membrane oxygenation.