Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Jul;29(3):227-229.
doi: 10.1016/j.jsha.2017.01.002. Epub 2017 Feb 2.

Contrast-induced thrombocytopenia following percutaneous coronary intervention

Roberto Muniz Ferreira  1   2 , João Mansur Filho  1 , Paolo Blanco Villela  1   2 , Juliano Carvalho Gomes de Almeida  1   2 , Pedro Paulo Nogueres Sampaio  1 , Felipe Neves de Albuquerque  1 , Wolmar Pulcheri  1 , Cláudio Buarque Benchimol  2
Affiliations

Contrast-induced thrombocytopenia following percutaneous coronary intervention

Roberto Muniz Ferreira et al. J Saudi Heart Assoc. 2017 Jul.

Abstract

Contrast-induced thrombocytopenia is a rare complication distinguished by acute and severe platelet consumption, with spontaneous recovery within days. We describe a case of acute thrombocytopenia 6 hours after coronary angioplasty in a patient with a negative antiplatelet factor 4 test. The count reached 1 × 103/µL, but improved spontaneously to 210 × 103/µL after 8 days. In conclusion, physicians should be aware of this complication, particularly when dual antiplatelet therapy is being considered.

Keywords: Cardiovascular disease; Contrast media; Thrombocytopenia.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Platelet counts before and after contrast exposure.
See this image and copyright information in PMC

References

    1. Shenoy C., Harjai K. Thrombocytopenia following percutaneous coronary intervention. J Interv Cardiol. 2011;24:15–26. - PubMed
    1. Bata P., Tarnoki A.D., Tarnoki D.L., Horvath E., Berczi V., Szalay F. Acute severe thrombocytopenia following non-ionic low-osmolarity intravenous contrast medium injection. Korean J Radiol. 2012;13:505–509. - PMC - PubMed
    1. Lacy J., Bober-Sorcinelli K.E., Farber L.R., Glickman M.G. Acute thrombocytopenia induced by parenteral radiographic contrast medium. Am J Roentgenol. 1986;146:1298–1299. - PubMed
    1. Keach J.W., Huang J., Garcia J.A., Krantz M.J., Hass E.E. Acute severe thrombocytopenia secondary to intraarterial low-osmolar iodinated contrast administered during coronary angiography. J Vasc Interv Radiol. 2014;25:2003–2005. - PubMed
    1. Barillari G., Pasca S. Acute thrombocytopenia after infusion of an iodinated contrast medium: a case report. J Clin Case Rep. 2012;2:218.

LinkOut - more resources