Carbon Dioxide and Gadopentetate Dimeglumine Venography to Guide Percutaneous Vertebroplasty

Abstract

Percutaneous vertebroplasty with polymethylmethacrylate (PMMA) is an effective procedure for relieving pain due to vertebral body compression fractures. The technique employs iodinated contrast venography to exclude needle placement directly within the basivertebral complex. We present two cases in which carbon dioxide (CO2) and gadopentetate dimeglumine venography was used to guide percutaneous vertebroplasty in patients with a contraindication to iodinated contrast.

Percutaneous Cervical Vertebroplasty in a MultifunctionalImage-Guided Therapy Suite: Hybrid Lateral Approach to C1 andC4 Under CT and Fluoroscopic Guidance

“…In patients with severe allergy to iodinated contrast media or chronic renal insufficiency, gadolinium-based agents have been used [16].…”

Effects of fracture severity and cement viscosity on the risk of cement leakage during percutaneous vertebroplasty

“…Hsi-Ching HSU*, Wen-Kai CHOU*, Chun-Kai CHIANG* and Jaw-Lin WANG* Some studies have used intra-osseous contrast medium viewing fluoroscopically before PVP, to estimate the specific cement distribution pattern after cement injection and to determine the possible locations of cement leakage (McGraw, et al, 2002a, 2002b, Peh and Gilula, 2003and Vasconcelos, et al, 2002. However, they failed to assess the true route of cement flow after injection, due to the different viscosities of the cement (McGraw, et al, 2002a), not to mention the difficulty in explaining the dynamic radiographs after injection of the contrast medium (McGraw, et al, 2002a andPeh andGilula, 2003).…”

Venospondylography as control and diagnostic method under the percutaneous vertebroplasty

“…Так Wong W. и соавт. [19] [12]. Качественно выполненная веноспондилография несомненно полезна в контроле размещения иглы в теле позвонка, оценки направления венозного оттока крови, обнаружения мест переломов кортекса тел позвонков, в дополнение к этому знание венозной анатомии позволяет хирургу уделить особое значение этим особенностям в процессе динамической инъекции костного цемента [11].…”