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Cardiac Arrest From Sulfur Hexafluoride Contrast Anaphylaxis After Prior Perflutren Hypersensitivity
Douglas R Corsi1, Christian Simon1, Naresh Nagella1
1Division of Cardiovascular Disease, Department of Internal Medicine, Rutgers University, New Brunswick, New Jersey, USA.
Severe allergic reactions to ultrasound-enhancing agents (UEAs) are rare but possible. This case highlights a life-threatening anaphylaxis to sulfur hexafluoride lipid microspheres in a patient with prior hypersensitivity to a related agent.
Area of Science:
- Radiology
- Allergy and Immunology
- Cardiology
Background:
- Ultrasound-enhancing agents (UEAs) are widely used and generally safe.
- Severe adverse reactions to UEAs are uncommon, and cross-reactivity between different agents is not well-established.
- Existing guidelines permit the use of sulfur hexafluoride lipid microspheres (SFM) in patients with prior hypersensitivity to perflutren lipid microspheres (PLM).
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