Presentation is loading. Please wait.

Presentation is loading. Please wait.

Gregory J. Nadolski, MD, S. William Stavropoulos, MD 

Published byἸώβ Πελάγιος Παπανδρέου Modified over 5 years ago

Similar presentations

Presentation on theme: "Gregory J. Nadolski, MD, S. William Stavropoulos, MD "— Presentation transcript:

1 Contrast alternatives for iodinated contrast allergy and renal dysfunction: Options and limitations 
Gregory J. Nadolski, MD, S. William Stavropoulos, MD  Journal of Vascular Surgery  Volume 57, Issue 2, Pages (February 2013) DOI: /j.jvs Copyright © 2013 Society for Vascular Surgery Terms and Conditions

2 Fig 1 A, Tandem three-way stopcocks with extension tubing and 60-mL syringe used to administer carbon dioxide (CO2) for angiography. B, Filling the syringe with CO2. C, Disconnect syringe from tubing that is connected to the CO2 canister. Close three-way stopcock. The syringe is not ready to connect to the diagnostic catheter. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Diagnosis of May-Thurner syndrome and treatment using carbon dioxide (CO2). Cavogram and bilateral iliac venogram demonstrate normal right iliac vein (A) and extrinsically compressed left common iliac vein (B). Accurate estimation of vessel size for stent placement can be obtained with CO2. Poststent venogram demonstrates brisk flow into the inferior vena cava with appropriately sized and properly apposed stent in the left common iliac (C). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Leg arteriogram demonstrating pseudostenosis. A, Left leg arteriogram depicting stenosis in left common femoral artery and proximal left superficial femoral artery (arrows). B, Repeat arteriogram with the patient's leg elevated and with more forceful injection showing the suspected lesion in the common femoral artery was a pseudostenosis, while the stenosis of the superficial femoral artery was overestimated. Both occurred due to poor injection technique and underfilling of the vessel. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Use of carbon dioxide (CO2) in conjunction with dilute contrast. Aortogram with CO2 identifies single left renal artery (white arrow) and large hypervascular left renal mass (black arrow). Dilute contrast was used for selective renal arteriogram before embolization of the mass (image not shown). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

6 Fig 5 Use of dilute contrast to supplement carbon dioxide (CO2) in upper extremity fistulogram performed in a patient with residual renal function. Retrograde access to the fistula was achieved directed toward arterial anastomosis. The radial artery was selected with a Binkert catheter. A, Fistulogram performed using dilute iodinated contrast material demonstrating two tandem stenoses in the perianastomotic vein (black arrows). B, Postangioplasty fistulogram with dilute iodinated contrast material (ICM) demonstrating no residual stenosis. The remainder of the fistulogram, including central venography, was completed using CO2 (image not shown). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Download ppt "Gregory J. Nadolski, MD, S. William Stavropoulos, MD "

Similar presentations

Endovascular treatment of renal artery aneurysms and renal arteriovenous fistulas  Zhongming Zhang, MD, Min Yang, MD, Li Song, MD, Xiaoqiang Tong, MD,

Endovascular treatment of renal artery aneurysms and renal arteriovenous fistulas  Zhongming Zhang, MD, Min Yang, MD, Li Song, MD, Xiaoqiang Tong, MD,
Catheter-less angiography for endovascular aortic aneurysm repair: A new application of carbon dioxide as a contrast agent  Enrique Criado, MD, Loay Kabbani,

Catheter-less angiography for endovascular aortic aneurysm repair: A new application of carbon dioxide as a contrast agent  Enrique Criado, MD, Loay Kabbani,
Total laparoscopic renal artery bypass for restenosis after failed percutaneous transluminal renal stenting  Jérôme Cau, MD, Jean Baptiste Ricco, MD,

Total laparoscopic renal artery bypass for restenosis after failed percutaneous transluminal renal stenting  Jérôme Cau, MD, Jean Baptiste Ricco, MD,
Kathleen M. Lamb, MD, Julia Glaser, MD, Phillip Dowzicky, MD, Paul J

Kathleen M. Lamb, MD, Julia Glaser, MD, Phillip Dowzicky, MD, Paul J
Diagnosis and treatment of venous lymphedema

Diagnosis and treatment of venous lymphedema
Bare metal stent infections: Case report and review of the literature

Bare metal stent infections: Case report and review of the literature
Iliac vein stenting in postmenopausal leg swelling

Iliac vein stenting in postmenopausal leg swelling
Bedside vena cava filter placement with intravascular ultrasound: A simple, accurate, single venous access method  Donald L. Jacobs, MD, Raghunandan L.

Bedside vena cava filter placement with intravascular ultrasound: A simple, accurate, single venous access method  Donald L. Jacobs, MD, Raghunandan L.
Khanjan Baxi, BS, Samir K. Shah, MD, Daniel G. Clair, MD 

Khanjan Baxi, BS, Samir K. Shah, MD, Daniel G. Clair, MD 
Soft tissue sarcomas may present with deep vein thrombosis

Soft tissue sarcomas may present with deep vein thrombosis
Single-session total endovascular iliocaval reconstruction with stent grafting for the treatment of inferior vena cava agenesis and concurrent iliac venous.

Single-session total endovascular iliocaval reconstruction with stent grafting for the treatment of inferior vena cava agenesis and concurrent iliac venous.
Successful endovascular management of an acute iliac venous injury during lumbar discectomy and anterior spinal fusion  Joseph R. Schneider, MD, PhD,

Successful endovascular management of an acute iliac venous injury during lumbar discectomy and anterior spinal fusion  Joseph R. Schneider, MD, PhD,
Surgical treatment of hemodialysis-related central venous stenosis or occlusion: Another option to maintain vascular access  Javier Eduardo Ferrari Ayarragaray,

Surgical treatment of hemodialysis-related central venous stenosis or occlusion: Another option to maintain vascular access  Javier Eduardo Ferrari Ayarragaray,
Mohammed Al-Omran, MD, MSc  Journal of Vascular Surgery 

Mohammed Al-Omran, MD, MSc  Journal of Vascular Surgery 
Three-dimensional spiral computed tomographic angiography: An alternative imaging modality for the abdominal aorta and its branches  Geoffrey D. Rubin,

Three-dimensional spiral computed tomographic angiography: An alternative imaging modality for the abdominal aorta and its branches  Geoffrey D. Rubin,
Pharmacomechanical thrombectomy for treatment of symptomatic lower extremity deep venous thrombosis: Safety and feasibility study  Ruth L. Bush, MD, Peter.

Pharmacomechanical thrombectomy for treatment of symptomatic lower extremity deep venous thrombosis: Safety and feasibility study  Ruth L. Bush, MD, Peter.
Persistent sciatic artery and vein: An unusual case

Persistent sciatic artery and vein: An unusual case
Kathleen M. Lamb, MD, Julia Glaser, MD, Phillip Dowzicky, MD, Paul J

Kathleen M. Lamb, MD, Julia Glaser, MD, Phillip Dowzicky, MD, Paul J
Single-session total endovascular iliocaval reconstruction with stent grafting for the treatment of inferior vena cava agenesis and concurrent iliac venous.

Single-session total endovascular iliocaval reconstruction with stent grafting for the treatment of inferior vena cava agenesis and concurrent iliac venous.
Extrinsic compression of the external iliac artery following internal fixation of an acetabular fracture  Erin Koelling, MD, Dipankar Mukherjee, MD  Journal.

Extrinsic compression of the external iliac artery following internal fixation of an acetabular fracture  Erin Koelling, MD, Dipankar Mukherjee, MD  Journal.

Similar presentations

Ads by Google