D. Kummerkloess et al., ANGIOGRAPHY WITH CARBON-DIOXIDE IN COMBIN ATION WITH VASCULAR INTERVENTION, Zentralblatt fur Chirurgie, 122(9), 1997, pp. 725-729
Within the last 18 months we examined 130 patients with known complica
tions or contraindications using iodinated contrast media for angiogra
phy by using carbondioxide as contrast agent in digital subtraction an
giography technique, These were diagnostic pelvis-leg angiographies (n
= 106) with simultaneous consecutive interventional radiologic therap
y in 68 cases. In 19 dialysis access fistulas 11 angioplasties were pe
rformed in the same session, In 5 cases of renal allografts no interve
ntional radiologic therapy was necessary, For CO2 application an elect
ronic controlled special injector was used, Carbondioxide has a number
of advantages: no adverse reactions, nonallergenic and can be used se
veral times without increasing risks and is cost-saving, CO2 angiograp
hy is a sensitive method, for detection vessel wall processes below th
e diaphragm, It can replace conventional angiography.