title: [Carbon dioxide as an alternative contrast medium in peripheral angiography].
abstract: A closed gas pressure pistol was used in 50 patient CO2 angiography as a supplementary method to conventional injection with liquid contrast medium. These were diagnostic pelvis-leg angiographies (n = 36), therapeutic angiographies (n = 8), haemodialysis fistulas (n = 3), suspected stenosis of a renal transplant artery (n = 1) and suspected renal artery stenosis (n = 1). 246 renal angiography series were performed with CO2. Dosages varied in accordance with the imaged vascular area between 10 ccm;(shunt imaging) and up to 100 cm3 (pelvis-leg angiography), at pressures between 400 mbar in case of haemodialysis fistulas up to 2000 mbar in the pelvis-leg area. Short-term feeling of fullness and even nausea were accompanying symptoms in 4 patients. The image quality was slightly inferior to that of conventional contrast medium images due to an elevated signal-to-noise ratio. Injector-monitored CO2 angiographies enabled imaging of the distal aorta or of peripheral vascular sections, imaging of the upper extremity and presentation of kidney transplants in patients with a relative or absolute contraindication to iodised contrast media.
authors.affiliation: Institut für Radiologie, Medizinischen Universität zu Lübeck.
authors.forename: M
authors.initials: M
authors.lastname: Zwaan
authors.forename: W
authors.initials: W
authors.lastname: Kloess
authors.forename: C
authors.initials: C
authors.lastname: Kagel
authors.forename: D
authors.initials: D
authors.lastname: Kummer-Kloess
authors.forename: S
authors.initials: S
authors.lastname: Matthies-Zwaan
authors.forename: R M
authors.initials: RM
authors.lastname: Schütz
authors.forename: H D
authors.initials: HD
authors.lastname: Weiss
authors.forename: W
authors.initials: W
authors.lastname: Zwaan
mesh_terms: D000792:Angiography / Q000379:methods*; D015901:Angiography, Digital Subtraction / Q000379:methods; D001166:Arteriovenous Shunt, Surgical; D002245:Carbon Dioxide / Q000008:administration & dosage; D003287:Contrast Media / Q000008:administration & dosage; D005069:Evaluation Studies as Topic; D006801:Humans; D016030:Kidney Transplantation; D012077:Renal Artery / Q000000981:diagnostic imaging; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging; D006435:Renal Dialysis
chemical_list: D003287:Contrast Media; D002245:Carbon Dioxide