Transient paralysis from carbon dioxide angiography in a patient after four-vessel endovascular thoracoabdominal aortic aneurysm repair.

Abstract:

:Contrast angiography with carbon dioxide (CO2) is frequently used in patients with renal dysfunction or iodinated contrast allergies, as CO2 is nonallergenic, nontoxic, and rapidly absorbed in the blood. However, when delivered intra-arterially, there is a possibility that CO2 may create a vapor lock with resultant transient ischemia. We describe a case of suspected CO2 embolus to the iliolumbar artery after iliac artery stenting resulting in immediate loss of bilateral lower extremity motor and sensory function. After placement of a spinal drain and elevation of mean arterial blood pressure, the patient had complete return of sensation with improvement in motor function.

journal_name

J Vasc Surg

authors

Johnston WF,Zamora AJ,Upchurch GR Jr

doi

10.1016/j.jvs.2012.06.075

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

1717-20

issue

6

eissn

0741-5214

issn

1097-6809

pii

S0741-5214(12)01491-7

journal_volume

56

pub_type

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