Current status of carbon dioxide angiography

Mel J Sharafuddin; Anna E Marjan

doi:10.1016/j.jvs.2017.03.446

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Current status of carbon dioxide angiography

Journal article

Open access

Peer reviewed

Current status of carbon dioxide angiography

Mel J Sharafuddin and Anna E Marjan

Journal of vascular surgery, Vol.66(2), pp.618-637

08/2017

DOI: 10.1016/j.jvs.2017.03.446

PMID: 28735955

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https://doi.org/10.1016/j.jvs.2017.03.446View

Published (Version of record) Open Access

Abstract

Unfamiliarity of endovascular surgeons with carbon dioxide (CO ) angiography is one of the main reasons for its limited use. This review is intended to familiarize the reader with the principles and applications of that modality. We conducted a comprehensive review of contemporary literature related to CO angiography and its use in the field of vascular and endovascular surgery, including technical details and diagnostic and interventional applications. Cardinal physicochemical characteristics of CO include buoyancy, ultralow viscosity, and nonmixing with blood. Because of the risk of neurotoxicity, intra-arterial CO angiography should only be performed below the diaphragm. Venous CO angiography can be performed anywhere in the torso and extremities. Ultralow viscosity enables intraprocedural imaging during vascular interventions without the need to exchange for an angiographic catheter. Benefits, advantages, and emerging applications of CO angiography are listed. Potential complications and their avoidance and troubleshooting are discussed. CO holds promise as an effective and versatile angiographic contrast agent. It is also a valuable modality for the guidance of endovascular interventions. Current availability of easy to use, safe, and portable CO delivery systems will likely expand the use of that modality even beyond the traditional indications of renal insufficiency and iodinated contrast allergy.

Predictive Value of Tests

Radiography, Interventional - instrumentation

Reproducibility of Results

Vascular Diseases - therapy

Endovascular Procedures - adverse effects

Humans

Risk Factors

Carbon Dioxide - administration & dosage

Treatment Outcome

Angiography - instrumentation

Carbon Dioxide - adverse effects

Equipment Design

Angiography - adverse effects

Vascular Diseases - diagnostic imaging

Endovascular Procedures - instrumentation

Radiography, Interventional - adverse effects

Contrast Media - adverse effects

Endovascular Procedures - methods

Radiography, Interventional - methods

Angiography - methods

Contrast Media - administration & dosage

Details

Title: Subtitle: Current status of carbon dioxide angiography
Creators: Mel J Sharafuddin - Department of Surgery, The University of Iowa Roy and Lucille Carver College of Medicine, Iowa City, Iowa. Electronic address: mel-sharafuddin@uiowa.edu
Anna E Marjan - Department of Surgery, The University of Iowa Roy and Lucille Carver College of Medicine, Iowa City, Iowa
Resource Type: Journal article
Publication Details: Journal of vascular surgery, Vol.66(2), pp.618-637
DOI: 10.1016/j.jvs.2017.03.446
PMID: 28735955
NLM abbreviation: J Vasc Surg
ISSN: 0741-5214
eISSN: 1097-6809
Publisher: United States
Language: English
Date published: 08/2017
Academic Unit: Radiology; Surgery
Record Identifier: 9984051561902771

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