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<PubmedArticle><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">36091620</PMID><DateRevised><Year>2022</Year><Month>09</Month><Day>13</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">1878-5409</ISSN><JournalIssue CitedMedium="Internet"><Volume>26</Volume><Issue>3</Issue><PubDate><Year>2022</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Journal of cardiology cases</Title><ISOAbbreviation>J Cardiol Cases</ISOAbbreviation></Journal><ArticleTitle>Low-molecular-weight dextran-induced anaphylactic shock immediately after intracoronary imaging.</ArticleTitle><Pagination><StartPage>229</StartPage><EndPage>231</EndPage><MedlinePgn>229-231</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jccase.2022.05.003</ELocationID><Abstract><AbstractText Label="UNLABELLED">Dextran has been frequently used during intracoronary imaging, such as in optical coherence tomography, optical frequent domain imaging, and coronary angioscopy. We report a case of dextran-induced anaphylaxis in a 70-year-old male with chronic coronary disease. Upon admission, we performed coronary angiography and coronary angioscopy on the patient. After the intracoronary imaging, the patient's blood pressure suddenly fell to 50&#xa0;mmHg and a rash appeared on his chest. The patient was diagnosed as having dextran-induced anaphylactic shock. Epinephrine was administered repeatedly, and his blood pressure gradually recovered after administering a total of 6&#xa0;mg epinephrine. There was no recurrence of the anaphylactic shock, and the patient was discharged 12&#xa0;days later. The incidence of dextran-induced anaphylactic reactions is extremely low; however, they can be fatal. The possibility of anaphylactic shock induced by dextran should be kept in mind by all cardiovascular interventionalists performing intracoronary imaging.</AbstractText><AbstractText Label="LEARNING OBJECTIVE" NlmCategory="UNASSIGNED">Dextran has been frequently used during intracoronary imaging. We report on a case of dextran-induced anaphylaxis in a 70-year-old male with chronic coronary disease. While the incidence of dextran-induced anaphylactic reactions is extremely low, it can lead to fatal events. The possibility of anaphylactic shock induced by dextran should be kept in mind by all cardiovascular interventionalists while performing intracoronary imaging.</AbstractText><CopyrightInformation>&#xa9; 2022 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dai</LastName><ForeName>Kazuoki</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Oi</LastName><ForeName>Kuniomi</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hyodo</LastName><ForeName>Yohei</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jyuri</LastName><ForeName>Yusuke</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Takayama</LastName><ForeName>Shin</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shigehara</LastName><ForeName>Mikio</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tomomori</LastName><ForeName>Shunsuke</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Higaki</LastName><ForeName>Tadanao</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kawase</LastName><ForeName>Tomoharu</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Suenari</LastName><ForeName>Kazuyoshi</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nishioka</LastName><ForeName>Kenji</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Otsuka</LastName><ForeName>Masaya</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Masaoka</LastName><ForeName>Yoshiko</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shiode</LastName><ForeName>Nobuo</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nakano</LastName><ForeName>Yukiko</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Department of Cardiovascular Medicine, Division of Medicine, Biomedical Sciences Major, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2022</Year><Month>06</Month><Day>04</Day></ArticleDate></Article><MedlineJournalInfo><Country>Japan</Country><MedlineTA>J Cardiol Cases</MedlineTA><NlmUniqueID>101549579</NlmUniqueID><ISSNLinking>1878-5409</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Anaphylaxis</Keyword><Keyword MajorTopicYN="N">Coronary angioscopy</Keyword><Keyword MajorTopicYN="N">Dextran</Keyword></KeywordList><CoiStatement>There is no conflict of interest related to this manuscript.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2021</Year><Month>12</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2022</Year><Month>4</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2022</Year><Month>5</Month><Day>5</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2022</Year><Month>9</Month><Day>12</Day><Hour>4</Hour><Minute>3</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2022</Year><Month>9</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2022</Year><Month>9</Month><Day>13</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="pmc-release"><Year>2022</Year><Month>6</Month><Day>4</Day></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">36091620</ArticleId><ArticleId IdType="pmc">PMC9449738</ArticleId><ArticleId IdType="doi">10.1016/j.jccase.2022.05.003</ArticleId><ArticleId 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