Gadolinium as an alternative contrast medium in endovascular embolization of a dural arteriovenous fistula patient with severe iodine allergy

Interdisciplinary Neurosurgery 2026 Open access

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Authors: Ting Pan, Liang Ge, Qiang Xu, Gang Lu, Hailin Wan, Yeqing Jiang, Xi Chen, Xiaolong Zhang
DOI: 10.1016/j.inat.2026.102195
Cited by: 1
References: 5

Abstract

Gadolinium-based contrast agents can be alternative for patients with contraindications to iodinated contrast media. However, intra-arterial gadolinium-based contrast agent administration for angiography presents technical challenges due to dosage restrictions and suboptimal image quality, particularly in complex cerebrovascular interventions. In this context, we report the successful embolization of a complex dural arteriovenous fistula using gadolinium-based contrast agents, achieved through optimized DSA imaging parameters and strategic contrast dilution.

Fields of Study & Subjects

Vascular Malformations Diagnosis and Treatment Acute Kidney Injury Research Lanthanide and Transition Metal Complexes

Publication details

Journal / source
Interdisciplinary Neurosurgery
Publisher
Elsevier BV
Volume
43
Pages
102195–102195
Publication date
24 January 2026
Language
EN