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Mayo Clin Proc ; 91(3): 362-6, 2016 Mar.
Article in English | MEDLINE | ID: mdl-26856779

ABSTRACT

Nonanaphylactic noncardiogenic pulmonary edema leading to cardiorespiratory arrest related to the magnetic resonance imaging contrast agent gadobutrol has rarely been reported in the literature. Rarer is the association of hypokalemia with acidosis. We report 2 patients who had severe pulmonary edema associated with the use of gadobutrol contrast in the absence of other inciting agents or events. These cases were unique not only for their rare and severe presentations but also because they exemplified the increasing role of extracorporeal membrane oxygenation in resuscitation. Emergency extracorporeal membrane oxygenation resuscitation can be rapidly initiated and successful in the setting of a well-organized workflow, and it is a viable alternative and helps improve patient outcome in cases refractory to conventional resuscitative measures.


Subject(s)
Contrast Media/adverse effects , Heart Arrest/etiology , Heart Arrest/therapy , Magnetic Resonance Imaging/adverse effects , Organometallic Compounds/adverse effects , Pulmonary Edema/etiology , Pulmonary Edema/therapy , Cardiopulmonary Resuscitation/methods , Emergency Medical Services/methods , Extracorporeal Membrane Oxygenation , Humans , Male , Middle Aged , Minnesota , Treatment Outcome
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