Carbon Dioxide as Contrast Medium to Guide Endovascular Aortic Aneurysm Repair.


BACKGROUND:Iodine contrast medium (ICM) is considered to be gold standard in endovascular procedures, but its nephrotoxicity and hypersensitivity limit the widespread use. Carbon dioxide (CO2) is considered as an alternative for endovascular procedures in patients with contraindication to ICM. However, no studies have compared the outcomes of endovascular aneurysm repair (EVAR) performed with ICM or CO2 among patients with no contraindication to ICM. METHODS:From May 2012 to April 2014, 36 patients with abdominal aortic aneurysms underwent EVAR in a prospective, randomized, and controlled study. Patients were randomized into 2 groups, CO2 or ICM group. RESULTS:We were able to perform the proposed procedures in all patients in this study. There were no conversions to open surgery and no CO2-related complications. Endovascular material costs, duration of surgery, and time of fluoroscopy were similar between groups, and the cost of the contrast media was smaller in the CO2 group than in the ICM group. Among CO2 group procedures, 62.5% of the patients needed ICM complementary use. CONCLUSIONS:The use of CO2 as a contrast medium for EVAR is an alternative in patients with no restriction for ICM, with similar outcomes when compared to ICM, regarding duration of surgery, duration of fluoroscopy, and endovascular material costs. Using CO2, there were no changes in creatinine clearance and no risk of hypersensitivity reactions; moreover, there was a reduction in contrast-related costs for EVAR procedures. However, in our study, additional use of ICM to visualize the internal iliac artery was needed in most procedures.


Ann Vasc Surg


de Almeida Mendes C,de Arruda Martins A,Teivelis MP,Kuzniec S,Varella AY,Wolosker N




Has Abstract


2017-02-01 00:00:00












  • Benefits of carotid patching: a prospective randomized study with long-term follow-up.

    abstract::A prospective study with random selection between primary closure and saphenous vein patching after carotid endarterectomy was conducted. Patients were evaluated with intravenous digital subtraction angiography during the initial postoperative period, followed by duplex scanning at 3 and 6 months, and then yearly exam...

    journal_title:Annals of vascular surgery

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: De Letter JA,Moll FL,Welten RJ,Eikelboom BC,Ackerstaff RG,Vermeulen FE,Algra A

    更新日期:1994-01-01 00:00:00

  • An adult case of idiopathic internal carotid-internal jugular vein arteriovenous fistula.

    abstract::Carotid-jugular fistula is an abnormal connection between the carotid artery and/or its branches and jugular vein. It can develop either because of trauma or spontaneous causes. Traumatic fistula may occur after head injuries and can range from minor falls to severe penetrating wounds. Traumatic fistula may also resul...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Puca AE,Pignatelli F

    更新日期:2015-01-01 00:00:00

  • A Rare Case of Acroangiodermatitis Associated with a Congenital Arteriovenous Malformation (Stewart-Bluefarb Syndrome) in a Young Veteran: Case Report and Review of the Literature.

    abstract::Acroangiodermatitis (AD) is a rare angioproliferative disease manifesting with cutaneous lesions clinically similar to Kaposi's sarcoma. AD is a benign hyperplasia of preexisting vasculature and may be associated with acquired or congenital arteriovenous malformations (AVM), or severe chronic venous insufficiency (bec...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章,评审


    authors: Archie M,Khademi S,Aungst D,Nouvong A,Freeman S,Gelabert H,Rigberg D,deVirgilio C,Lewis M,O'Connell J

    更新日期:2015-10-01 00:00:00

  • Outcomes of Critical Limb Ischemia in an Urban, Safety Net Hospital Population with High WIfI Amputation Scores.

    abstract:BACKGROUND:Patients presenting to a public hospital with critical limb ischemia (CLI) typically have advanced disease with significant comorbidities. The purpose of this study was to assess the influence of revascularization on 1-year amputation rate of CLI patients presenting to Los Angeles County USC Medical Center, ...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Ward R,Dunn J,Clavijo L,Shavelle D,Rowe V,Woo K

    更新日期:2017-01-01 00:00:00

  • A deceitful case of spinal cord malperfusion presented as an acute limb ischemia.

    abstract::We present an interesting case of a patient with spinal cord ischemia presented with physical and angiographic findings of acute right leg ischemia 6 days after abdominal aortic aneurysm open repair. After unsuccessful transpopliteal thrombectomy, patient was treated with spinal cord drainage. Cause of this complicati...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Banzic I,Ilić N,Dragaš M,Končar I,Sladojevic M,Tomic I,Davidovic L

    更新日期:2014-07-01 00:00:00

  • Malignant fibrous histiocytoma arising from descending thoracic aorta.

    abstract::Cases of malignant fibrous histiocytoma arising from the aorta are rare and have a dismal outlook despite treatment. The longest reported survival period following resection is only 28 months. A patient with malignant fibrous histiocytoma of the descending thoracic aorta was successfully treated with resection and rec...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Busby JR,Ochsner JL,Emory WB,Flaum M,Mitchell W,Farber MA

    更新日期:1990-03-01 00:00:00

  • Cavoatrial thrombectomy in hepatocellular carcinoma with tumor thrombus in the vena cava and atrium without the use of cardiopulmonary bypass.

    abstract:BACKGROUND:Hepatocellular carcinoma (HCC) with tumor thrombus (TT) in hepatic vein, inferior vena cava (IVC), and right atrium (RA) portends a poor prognosis because of intravascular extension leading to rapid distal metastases. En bloc resection of cavoatrial TT without the use of cardiopulmonary bypass (CPB) is chall...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Li AJ,Yuan H,Yin L,Che Q,Lang XL,Wu MC

    更新日期:2014-08-01 00:00:00

  • Carotid Reconstruction with Bovine Carotid Heterograft after En Bloc Resection of Squamous Cell Carcinoma with Direct Internal Carotid Invasion.

    abstract::We report a novel use of Artegraft (North Brunswick, NJ) bovine heterograft for carotid reconstruction after resection of a neck squamous cell carcinoma (SCC). A 65-year-old man presented with a large left neck SCC encasing and invading the cervical internal carotid artery (ICA). Computed tomography angiography reveal...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Trestman EB,Garfein E,Ow T,Lipsitz EC,De Los Santos P,Shariff S

    更新日期:2017-04-01 00:00:00

  • Use of Fenestrated Stent-Grafts for Preservation of Spinal Artery Flow During Endovascular Repair of Thoracoabdominal Aortic Disease.

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    journal_title:Annals of vascular surgery



    authors: D'Oria M,Wanhainen A,Mani K

    更新日期:2021-01-01 00:00:00

  • Concurrent abdominal aortic aneurysm and urologic neoplasm: an argument for simultaneous intervention.

    abstract::This report describes the surgical management of 24 patients with concurrent abdominal aortic aneurysm (AAA) and urinary tract neoplasm. The patient population consisted of 22 men and two women whose average age was 65.5 years. AAA sizes ranged from 3.1 to 9.0 cm (mean 5.2 cm) in diameter. Urinary tract neoplasms incl...

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    pub_type: 杂志文章


    authors: Ginsberg DA,Modrall JG,Esrig D,Baek S,Yellin AE,Lieskovsky G,Skinner DG,Weaver FA

    更新日期:1995-09-01 00:00:00

  • The problem of vascular shotgun injuries: diagnostic and management strategy.

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    journal_title:Annals of vascular surgery

    pub_type: 杂志文章,评审


    authors: Bongard FS,Klein SR

    更新日期:1989-10-01 00:00:00

  • Supraceliac aortic occlusion: a safe approach to pararenal aortic aneurysms.

    abstract::Twenty-four patients who underwent surgery for pararenal aortic aneurysms between January 1992 and April 1997 are reviewed. Eighteen patients had primary atherosclerotic aneurysms, three patients had symptomatic infected aneurysms, two patients had an aneurysm proximal to a prior aortic repair, and one patient had a p...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Hines GL,Chorost M

    更新日期:1998-07-01 00:00:00

  • Spiral saphenous vein graft for major pelvic vessel reconstruction during exenteration surgery.

    abstract::This article describes a great saphenous vein spiral graft technique for reconstruction of iliac vessels after en bloc resection during pelvic exenteration. Use of different size syringes as a scaffold allows the surgeon to construct autologous vascular interposition conduits of variable diameter to match the luminal ...

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    pub_type: 杂志文章


    authors: Brown KG,Koh CE,Solomon MJ,Choy IC,Dubenec S

    更新日期:2015-08-01 00:00:00

  • Surgical resection of the inferior vena cava for leiomyosarcoma.

    abstract::Our case of primary leiomyosarcomas involved retrohepatic, suprarenal, and infrarenal inferior vena cava (IVC). Preoperative phlebography proved that there was adequate collateral circulation formed, which allowed us to achieve en bloc resection including segment I and II IVC without either extracorporeal circulation ...

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    authors: Liu C,Zheng Y,Yang X,Shao J,Song X,Liu B,Guan H

    更新日期:2010-08-01 00:00:00

  • Two-Device Closure Method for Large Diameter Arteriotomies in Percutaneous Endovascular Aortic Repair.

    abstract:BACKGROUND:Percutaneous endovascular aortic repairs (pEVARs) are associated with access site complications. Two-device technique using 2 Perclose devices has been well established. Combined Perclose and Angioseal technique has been described as well. We sought to determine whether a hybrid Perclose and Angioseal closur...

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    authors: Zamani N,Anaya-Ayala JE,Ismail N,Davies MG,Peden EK

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  • Postoperative pulmonary function after open abdominal aortic aneurysm repair in patients with chronic obstructive pulmonary disease: epidural versus intravenous analgesia.

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    authors: Panaretou V,Toufektzian L,Siafaka I,Kouroukli I,Sigala F,Vlachopoulos C,Katsaragakis S,Zografos G,Filis K

    更新日期:2012-02-01 00:00:00

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    更新日期:2015-08-01 00:00:00

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  • Radiofrequency Ablation Increases the Incidence of Endothermal Heat-Induced Thrombosis.

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    authors: Radak D,Tanaskovic S,Vucurevic G,Aleksic N,Opric D,Ilijevski N

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  • The anastomosis angle is a key to improved long-term patency of proximal femoropopliteal bypass.

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    authors: Grus T,Lindner J,Vidim T,Tosovsky J,Matecha J,Rohn V,Lambert L,Grusova G

    更新日期:2009-09-01 00:00:00

  • Factors influencing the outcome of paramalleolar bypass grafts.

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    authors: Plecha EJ,Lee C,Hye RJ

    更新日期:1996-07-01 00:00:00

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    authors: Shen C,Zhang Y,Qu C,Fang J,Liu X,Teng L

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    pub_type: 杂志文章


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    pub_type: 杂志文章


    authors: Diao YP,Yang N,Guo LL,Song XJ,Liu CW,Li YJ

    更新日期:2014-10-01 00:00:00

  • Multistage Endovascular Management of an Aortic Aneurysm Rupture into the Retroaortic Left Renal Vein.

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    journal_title:Annals of vascular surgery



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    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Kopchok GE,White RA,Guthrie C,Hsiang Y,Rosenbaum D,White GH

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    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Rastogi N,Kabutey NK,Kim D,Farber A

    更新日期:2012-05-01 00:00:00

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    authors: Ballard JL,Abou-Zamzam AM Jr,Teruya TH,Harward TR,Flanigan DP

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