TY - JOUR
T1 - Carbon dioxide (CO2) angiography as an option for endovascular abdominal aortic aneurysm repair (EVAR) in patients with chronic kidney disease (CKD)
AU - De Angelis, C.
AU - Sardanelli, F.
AU - Perego, M.
AU - Alì, M.
AU - Casilli, F.
AU - Inglese, L.
AU - Mauri, G.
N1 - Cited By :1
Export Date: 2 March 2018
CODEN: IJCIB
Correspondence Address: De Angelis, C.; Scuola di Specializzazione in Radiologia, Postgraduation School in Radiology, Università degli Studi di Milano, Via Festa del Perdono 7, Italy; email: kirachiara@hotmail.com
Chemicals/CAS: carbon dioxide, 124-38-9, 58561-67-4; Carbon Dioxide; Contrast Media
References: Koutouzi, G., Henrikson, O., Roos, H., EVAR guided by 3D image fusion and CO2 DSA: a new imaging combination for patients with renal insufficiency (2015) J Endovasc Ther, 22, pp. 912-917. , PID: 26384396; Sueyoshi, E., Nagayama, H., Sakamoto, I., Uetani, M., Carbon dioxide digital subtraction angiography as an option for detection of endoleaks in endovascular abdominal aortic aneurysm repair procedure (2015) J Vasc Surg, 61, pp. 298-303. , PID: 25151598; De Almeida, M.C., De Arruda, M.A., Passos Teivelis, M., Carbon dioxide is a cost-effective contrast medium to guide revascularization of TASC A and TASC B femoropopliteal occlusive disease (2014) Ann Vasc Surg, 28, pp. 1473-1478; Chuter, T.A., Reilly, L.M., Faruqi, R.M., Endovascular aneurysm repair in high-risk patients (2000) J Endovasc Ther, 31, pp. 122-133. , COI: 1:STN:280:DC%2BD3c7htFensw%3D%3D; Wald, R., Waikar, S.S., Liangos, O., Acute renal failure after endovascular vs open repair of abdominal aortic aneurysm (2006) J Vasc Surg, , PID: 16520155; Mehta, M., Veith, F.J., Lipsitz, E.C., Is elevated creatinine level a contraindication to endovascular aneurysm repair? (2004) J Vasc Surg, 39, pp. 118-123. , PID: 14718828; Criado, E., Upchurch, G.R., Young, K., Endovascular aortic aneurysm repair with carbon dioxide-guided angiography in patients with renal insufficiency (2012) J Vasc Surg, 55, pp. 1570-1575. , PID: 22341837; Kessel, D.O., Robertson, I., Patel, J., Carbon-dioxide-guided vascular interventions: technique and pitfalls (2002) Cardiovasc Interv Radiol, 25, pp. 476-483; Kroneberger, C., Enzweiler, C.N., Schmidt-Lucke, A., Contrast-induced nephropathy in patients with chronic kidney disease and peripheral arterial disease (2015) Acta Radiol Open, 4. , PID: 26346218; Eschelman, D.J., Sullivan, K.L., Bonn, J., Gardiner, G.A., Carbon dioxide as a contrast agent to guide vascular interventional procedures (1998) AJR Am J Roentgenol, 171, pp. 1265-1270. , COI: 1:STN:280:DyaK1M%2FhtlajsA%3D%3D, PID: 9798858; Nadolski, G.J., Stavropoulos, S.W., Contrast alternatives for iodinated contrast allergy and renal dysfunction: options and limitations (2013) J Vasc Surg, 57, pp. 593-598. , PID: 23246079; Kriss, V.M., Cottrill, C.M., Gurley, J.C., Carbon dioxide (CO2) angiography in children (1997) Pediatr Radiol, 27, pp. 807-810. , COI: 1:STN:280:DyaK2svmslaltA%3D%3D, PID: 9323247; Ehrman, K.O., Taber, T.E., Gaylord, G.M., Comparison of diagnostic accuracy with carbon dioxide versus iodinated contrast material in the imaging of hemodialysis access fistulas (1994) J Vasc Interv Radiol, 5, pp. 771-775. , COI: 1:STN:280:DyaK2M%2FptlWluw%3D%3D, PID: 8000128; Hawkins, I.F., Caridi, J.G., Carbon dioxide (CO2) digital subtraction angiography: 26-year experience at the University of Florida (1998) Eur Radiol, 8, pp. 391-402. , COI: 1:STN:280:DyaK1c7nvFWruw%3D%3D, PID: 9510571; Kerns, S.R., Hawkins, I.F., Carbon dioxide digital subtraction angiography: expanding applications and technical evolution (1995) AJR Am J Roentgenol, 164, pp. 735-741. , COI: 1:STN:280:DyaK2M7mvVSqtA%3D%3D, PID: 7863904; Seeger, J.M., Self, S., Harward, T.R., Carbon dioxide gas as an arterial contrast agent (1993) Ann Surg, 217, p. 688. , COI: 1:STN:280:DyaK3s3ot1Oiug%3D%3D, PID: 8507115; Back, M.R., Caridi, J.G., Hawkins, I.F., Seeger, J.M., Angiography with carbon dioxide (CO2) (1998) Surg Clin North Am, 78, pp. 575-591. , COI: 1:STN:280:DyaK1czpslCnug%3D%3D, PID: 9728202; Ho, J.P., Cho, K.J., Ko, P.J., Chu, S.Y., Gopinathan, A., (2016) Practical guide to surgical and endovascular hemodialysis access management, , World Scientific, Beaverton; Sacks, D., McClenny, T.E., Cardella, J.F., Lewis, C.A., Society of Interventional Radiology clinical practice guidelines (2003) J Vasc Interv Radiol, 14, pp. S199-S202. , PID: 14514818; Hawkins, I.F., Carbon dioxide digital subtraction arteriography (1982) AJR Am J Roentgenol, 139, pp. 19-24. , COI: 1:STN:280:DyaL383islehtA%3D%3D, PID: 6807073; Coffey, R., Quisling, R.G., Mickle, J.P., The cerebrovascular effects of intraarterial CO2 in quantities required for diagnostic imaging (1984) Radiology, 151, pp. 405-410. , COI: 1:CAS:528:DyaL2cXktF2rsL0%3D, PID: 6424174; Resta, E.C., Secchi, F., Giardino, A., Non-contrast MR imaging for detecting endoleak after abdominal endovascular aortic repair (2013) Int J Cardiovasc Imaging, 29, pp. 229-235. , PID: 22588711; Iozzelli, A., D’Orta, G., Aliprandi, A., The value of true-FISP sequence added to conventional gadolinium-enhanced MRA of abdominal aorta and its major branches (2009) Eur J Radiol, 72, pp. 489-493. , PID: 18926654; Liss, P., Eklöf, H., Hellberg, O., Renal effects of CO2 and iodinated contrast media in patients undergoing renovascular intervention: a prospective, randomized study (2005) J Vasc Interv Radiol, 16, pp. 57-65. , PID: 15640411
PY - 2017
Y1 - 2017
N2 - To assess feasibility, efficacy and safety of carbon dioxide (CO2) digital subtraction angiography (DSA) to guide endovascular aneurysm repair (EVAR) in a cohort of patients with chronic kidney disease (CKD). After Ethical Committee approval, the records of 13 patients (all male, mean age 74.6 ± 8.0 years) with CKD, who underwent EVAR to exclude an abdominal aortic aneurysm (AAA) under CO2 angiography guidance, were reviewed. The AAA to be excluded had a mean diameter of 52.0 ± 8.0 mm. CO2 angiography was performed by automatic (n = 7) or hand (n = 6) injection. The endograft was correctly placed and the AAA was excluded in all cases, without any surgical conversions. Two patients (15.4%) had an endoleak: one type-Ia, detected by CO2-DSA and effectively treated with prosthesis dilatation; one type-III, detected by CO2-DSA, confirmed using 10 ml of ICM, and conservatively managed. In one patient, CO2 angiograms were considered of too low quality for guiding the procedure and 200 ml of ICM were administered. Overall, 11 patients (84.6%) underwent a successful EVAR under the guidance of the sole CO2 angiography. No patients suffered from major complications, including those typically CO2-related. Two patients suffered from abdominal pain during the procedure secondary to a transient splanchnic perfusion’s reduction due to CO2, and one patient had a worsening of renal function probably caused by a cholesterol embolization during the procedure. In patients with CKD, EVAR under CO2 angiography guidance is feasible, effective, and safe. © 2017, European Union.
AB - To assess feasibility, efficacy and safety of carbon dioxide (CO2) digital subtraction angiography (DSA) to guide endovascular aneurysm repair (EVAR) in a cohort of patients with chronic kidney disease (CKD). After Ethical Committee approval, the records of 13 patients (all male, mean age 74.6 ± 8.0 years) with CKD, who underwent EVAR to exclude an abdominal aortic aneurysm (AAA) under CO2 angiography guidance, were reviewed. The AAA to be excluded had a mean diameter of 52.0 ± 8.0 mm. CO2 angiography was performed by automatic (n = 7) or hand (n = 6) injection. The endograft was correctly placed and the AAA was excluded in all cases, without any surgical conversions. Two patients (15.4%) had an endoleak: one type-Ia, detected by CO2-DSA and effectively treated with prosthesis dilatation; one type-III, detected by CO2-DSA, confirmed using 10 ml of ICM, and conservatively managed. In one patient, CO2 angiograms were considered of too low quality for guiding the procedure and 200 ml of ICM were administered. Overall, 11 patients (84.6%) underwent a successful EVAR under the guidance of the sole CO2 angiography. No patients suffered from major complications, including those typically CO2-related. Two patients suffered from abdominal pain during the procedure secondary to a transient splanchnic perfusion’s reduction due to CO2, and one patient had a worsening of renal function probably caused by a cholesterol embolization during the procedure. In patients with CKD, EVAR under CO2 angiography guidance is feasible, effective, and safe. © 2017, European Union.
KW - Abdominal aortic aneurysm (AAA)
KW - Angiography
KW - Carbon dioxide (CO2)
KW - Chronic kidney disease (CKD)
KW - Endovascular aneurysm repair (EVAR)
KW - Iodinated contrast material (ICM)
KW - carbon dioxide
KW - contrast medium
KW - abdominal aortic aneurysm
KW - abdominal pain
KW - aged
KW - Article
KW - cholesterol embolism
KW - chronic kidney failure
KW - clinical article
KW - cohort analysis
KW - conservative treatment
KW - controlled study
KW - digital subtraction angiography
KW - endoleak
KW - endovascular aneurysm repair
KW - feasibility study
KW - human
KW - image analysis
KW - image quality
KW - male
KW - patient safety
KW - retrospective study
KW - blood vessel transplantation
KW - complication
KW - diagnostic imaging
KW - endovascular surgery
KW - interventional radiology
KW - predictive value
KW - procedures
KW - treatment outcome
KW - very elderly
KW - Aged
KW - Aged, 80 and over
KW - Angiography, Digital Subtraction
KW - Aortic Aneurysm, Abdominal
KW - Blood Vessel Prosthesis Implantation
KW - Carbon Dioxide
KW - Contrast Media
KW - Endoleak
KW - Endovascular Procedures
KW - Feasibility Studies
KW - Humans
KW - Male
KW - Predictive Value of Tests
KW - Radiography, Interventional
KW - Renal Insufficiency, Chronic
KW - Retrospective Studies
KW - Treatment Outcome
U2 - 10.1007/s10554-017-1175-2
DO - 10.1007/s10554-017-1175-2
M3 - Article
VL - 33
SP - 1655
EP - 1662
JO - International Journal of Cardiovascular Imaging
JF - International Journal of Cardiovascular Imaging
SN - 1569-5794
IS - 11
ER -