Assessment of CO2 Arteriography in Arterial Occlusive Disease of the Lower Extremities

Díaz, Laura Paúl; Pabón, Isabel Pinto; García, Jesuús Alfayate; López, Miguel Ángel de la Cal

doi:10.1016/s1051-0443(07)61460-2

Cited by 26 publications

(12 citation statements)

References 16 publications

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“…Hawkins and Caridi obtained 92% diagnostic angiograms using CO 2 alone 15 . However, in the study by Diaz et al , 17 (24.3%) of 70 CO 2 arteriograms were similar to or better than ICM studies as assessed by reader 1 while reader 2 considered eight (11.4%) CO 2 studies to be as good as the ICM DSA 20 …”

Section: Discussionmentioning

confidence: 93%

“…These include hand injection, 15,17 Leveen pressure inflator 13 and dedicated delivery system by Coject (Angiodynamics, Glens Falls, NY, USA) 9,18,19 . The latter equipment is expensive, 13 but reported to be safer 7,19,20 . Kerns et al reported that a lower limit to the volume and rate of injection exists below which the bolus breaks up in the area of the imaging 5 .…”

Section: Discussionmentioning

confidence: 99%

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Comparison of intra‐arterial digital subtraction angiography using carbon dioxide by ‘home made’ delivery system and conventional iodinated contrast media in the evaluation of peripheral arterial occlusive disease of the lower limbs

et al. 2009

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To prospectively compare the feasibility, safety and diagnostic role of carbon dioxide (CO(2)) digital subtraction angiography (DSA) using a 'home made' delivery system with iodinated contrast medium (ICM) DSA in the evaluation of peripheral arterial occlusive diseases (PAOD) of lower limbs. Twenty-one patients (27 limbs; all men; mean age, 47.6 years) who presented with PAOD of lower limbs underwent DSA using both intra-arterial CO(2) and ICM. Conventional ICM DSA was performed first and used as gold standard. Carbon dioxide was then injected by hand using a locally improvised home made plastic bag delivery system. Patient tolerance was assessed subjectively. Arteries from aortic bifurcation to the ankle were independently evaluated by two radiologists and graded for stenosis using a five-point scale. For each patient, the quality of CO(2) DSA images were compared with the corresponding images of ICM DSA and an overall grade of 'good', 'acceptable' or 'poor' was assigned. Cohen's kappa coefficient was used to determine inter-observer agreement. Carbon dioxide opacified 86.2% (188/195) of major arteries and depicted stenosis adequately in 84.5% (191/226) of arterial segments. A good or acceptable image quality of CO(2) DSA was obtained in over 95% of patients. Infrapopliteal arteries were inadequately visualized. Mild pain was seen in six (28.6%) patients with both contrast agents; one patient developed severe pain during CO(2) DSA. Inter-observer agreement was good (k > 0.75) at 70% of the segments. Administration of CO(2) into lower limb arteries is well tolerated. Carbon dioxide DSA using the locally improvised home made delivery system is a feasible and safe alternative to ICM DSA in the evaluation of PAOD. It provides adequate imaging of arteries of lower extremities except infrapopliteal segments.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Comparison of intra‐arterial digital subtraction angiography using carbon dioxide by ‘home made’ delivery system and conventional iodinated contrast media in the evaluation of peripheral arterial occlusive disease of the lower limbs

et al. 2009

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“…Because some patients will not have undergone dialysis before creation of the AVF, venography with noniodinated contrast material may be required for preoperative mapping of the veins. CO 2 has shown its value as an alternative contrast agent for evaluating infradiaphragmatic arteries in patients in whom the use of iodinated contrast material is contraindicated, usually because of the high risk of renal toxicity or allergic reactions (3,4). It has also been recommended as a useful alternative contrast agent for venography (5,6), where the use of CO 2 resulted in betterquality images of the upper-limb central veins compared with the use of iodinated contrast material (5).…”

Section: Discussionmentioning

confidence: 99%

Upper-Extremity Venography: CO₂versus Iodinated Contrast Material

Heye¹,

Maleux²,

Marchal³

2006

Radiology

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“…CO 2 should not be used as a contrast agent for imaging the coronary artery or the cerebral circulation because of its potential neurotoxicity and likelihood of on coronary artery gas embolism causing myocardial ischemia (6-7. The intracoronary CO 2 injection has a profound effect on the left ventricular function in swine (7). Potential image degradation presents a problem with CO 2 use.…”

Section: Discussionmentioning

confidence: 99%

Tam Tıkalı Ana İliak Arterin; İonize Kontrast Madde Kullanmaksızın CO2’i Kontrast Ajan Olarak Kullanarak Endovasküler Yöntemle Tedavisi

Katırcıbaşı

Özkan

2017

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi

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Periferik arter hastaları arasında; kronik böbrek hastalığı yaygın olarak görülür. Güncel kılavuzlar bu hastalarda endovasküler tedavi yöntemlerini ilk tedavi seçeneği olarak önermektedir. Kontrastın indüklediği nefropati önceden kronik renal hastalığı, kalp yetersziliği olan veya işlem öncesi dehidrate kalan hastalarda oldukça yaygın olarak görünür ve bu durum hastanede yatış süresini ve mortaliteyi artırmaktadır. Bu tür hastalarda CO2 alternatif bir contrast ajan olarak kullanılabilir ve diğer gazlardan farklı olarak hemen hemen tamamı hızlı bir şekilde absorbe edilir. Bu vaka bildirisinde kronik böbrek hastalığı (glomerular filtration rate of 24 ml/min/1.77 m²) olan sol ana iliak arteri tam tıkalı bir hastada; contrast ajan olarak CO₂ in kullanıldığı bir vaka bildirilmiştir.

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Assessment of CO2 Arteriography in Arterial Occlusive Disease of the Lower Extremities

Cited by 26 publications

References 16 publications

Comparison of intra‐arterial digital subtraction angiography using carbon dioxide by ‘home made’ delivery system and conventional iodinated contrast media in the evaluation of peripheral arterial occlusive disease of the lower limbs

Comparison of intra‐arterial digital subtraction angiography using carbon dioxide by ‘home made’ delivery system and conventional iodinated contrast media in the evaluation of peripheral arterial occlusive disease of the lower limbs

Upper-Extremity Venography: CO₂versus Iodinated Contrast Material

Tam Tıkalı Ana İliak Arterin; İonize Kontrast Madde Kullanmaksızın CO2’i Kontrast Ajan Olarak Kullanarak Endovasküler Yöntemle Tedavisi

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Assessment of CO2 Arteriography in Arterial Occlusive Disease of the Lower Extremities

Cited by 26 publications

References 16 publications

Comparison of intra‐arterial digital subtraction angiography using carbon dioxide by ‘home made’ delivery system and conventional iodinated contrast media in the evaluation of peripheral arterial occlusive disease of the lower limbs

Comparison of intra‐arterial digital subtraction angiography using carbon dioxide by ‘home made’ delivery system and conventional iodinated contrast media in the evaluation of peripheral arterial occlusive disease of the lower limbs

Upper-Extremity Venography: CO2versus Iodinated Contrast Material

Tam Tıkalı Ana İliak Arterin; İonize Kontrast Madde Kullanmaksızın CO2’i Kontrast Ajan Olarak Kullanarak Endovasküler Yöntemle Tedavisi

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Upper-Extremity Venography: CO₂versus Iodinated Contrast Material