Carbondioxide-Aided Angiography Decreases Contrast Volume and Preserves Kidney Function in Peripheral Vascular Interventions

Stegemann, Emilia; Tegtmeier, Catharina; Bimpong-Buta, Nana Yaw; Sansone, Roberto; Uhlenbruch, Mark; Richter, A; Stegemann, Berthold; Roden, Michael; Westenfeld, Ralf; Kelm, Malte; Heiß, Christian

doi:10.1177/0003319715614701

Cited by 32 publications

(36 citation statements)

References 16 publications

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“…A small number of nonrandomized prospective and retrospective studies have also compared the two contrast agents. In 2015, Stegemann et al studied the safety and efficacy of CO 2 and found that the supplemental use of CO 2 decreased the total volume of ICM used for each procedure .…”

Section: Discussionmentioning

confidence: 99%

Contrast induced‐acute kidney injury following peripheral angiography with carbon dioxide versus iodinated contrast media: A meta‐analysis and systematic review of current literature

Prasad

Weinerman

Khan

et al. 2017

Cathet Cardio Intervent

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Section: Discussionmentioning

confidence: 99%

Contrast induced‐acute kidney injury following peripheral angiography with carbon dioxide versus iodinated contrast media: A meta‐analysis and systematic review of current literature

Prasad

Weinerman

Khan

et al. 2017

Cathet Cardio Intervent

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Section: Review Of Literature: Incidence Of Ci-aki Across Multiple Lementioning

confidence: 99%

Contrast-Induced Nephropathy Following Peripheral Angiography With Carbon Dioxide Versus Iodinated Contrast Media: A Systematic Review and Meta-Analysis of Current Literature

Prasad

Weinerman

Khan

et al. 2017

Journal of the American College of Cardiology

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Objective: We conducted a meta-analysis to compare the incidence of acute kidney injury (AKI) with carbon dioxide (CO 2 ) versus iodinated contrast media (ICM). Background: Contrast induced-acute kidney injury (CI-AKI) is a known complication following endovascular procedures with ICM. CO 2 has been employed as an alternative imaging medium as it is nontoxic to the kidneys. Methods: Search of indexed databases was performed and 1,732 references were retrieved. Eight studies (7 observational, 1 Randomized Controlled Trial) formed the meta-analysis. Primary outcome was AKI. Fixed effect model was used when possible in addition to analysis of publication bias. Results: In this meta-analysis, 677 patients underwent 754 peripheral angiographic procedures. Compared with ICM, CO 2 was associated with a decreased incidence of AKI (4.3% vs. 11.1%; OR 0.465, 95% CI: 0.218-0.992; P 5 0.048). Subgroup analysis of four studies that included granular data for patients with chronic kidney disease (CKD) did not demonstrate a decreased incidence of AKI with CO 2 (4.1% vs. 10.0%; OR 0.449, 95% CI: 0.165-1.221, P 5 0.117). Patients undergoing CO 2 angiography experienced a higher number of nonrenal events including limb/abdominal pain (11 vs. 0; P 5 0.001) and nausea/vomiting (9 vs. 1; P 5 0.006). Conclusions: In comparison to ICM, CO 2 use is associated with a modestly reduced rate of AKI with more frequent adverse nonrenal events. In studies that use CO 2 as the primary imaging agent, the average incidence of AKI remained high at 6.2%-supporting the concept that factors other than renal toxicity from ICM may contribute to renal impairment following peripheral angiography. V C 2017 Wiley Periodicals, Inc.

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“…The use of carbon dioxide (CO 2 ) is well referenced in the literature and has long been an established alternative to iodinated contrast media . It has been utilised in situations of allergy to iodinated contrast or compromised renal function …”

Section: Introductionmentioning

confidence: 99%

Carbon dioxide CT angiography during endovascular treatment of bilateral common iliac disease with angio‐CT utilisation

et al. 2018

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This paper presents the application of carbon dioxide for CT imaging during an endovascular procedure to help characterise unexpected bilateral common iliac artery stenosis utilising an angio-CT system, confirming its application in interventional radiology while maintaining sterility. A 78 year old male was referred to the Radiology Interventional Suite with left lower limb rest pain. On imaging via digital subtraction angiography and CT utilising both iodinated contrast and carbon-dioxide (CO ), endovascular treatment of bilateral CIA stenosis was performed with good clinical result. The case presented demonstrates the advanced imaging techniques possible in suites that have ready access to angiography and conventional CT. CO CT angiography is optimally performed on combined Angio-CT systems where CT and angiography system are integrated into a single room.

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Carbondioxide-Aided Angiography Decreases Contrast Volume and Preserves Kidney Function in Peripheral Vascular Interventions

Cited by 32 publications

References 16 publications

Contrast induced‐acute kidney injury following peripheral angiography with carbon dioxide versus iodinated contrast media: A meta‐analysis and systematic review of current literature

Contrast induced‐acute kidney injury following peripheral angiography with carbon dioxide versus iodinated contrast media: A meta‐analysis and systematic review of current literature

Contrast-Induced Nephropathy Following Peripheral Angiography With Carbon Dioxide Versus Iodinated Contrast Media: A Systematic Review and Meta-Analysis of Current Literature

Carbon dioxide CT angiography during endovascular treatment of bilateral common iliac disease with angio‐CT utilisation

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