Livedo reticularis, rhabdomyolysis, massive intestinal infarction, and death after carbon dioxide arteriography.
In patients with renal insufficiency or hypersensitivity to iodinated contrast material, carbon dioxide gas (CO2) is generally considered a safe alternative contrast media for digital subtraction angiography. However, we herein report a previously undescribed fatal complication of CO2 angiography in a patient with acute renal dysfunction and congestive heart failure. The possible pathogenetic mechanisms of this complication are discussed.
Rundback
J H
JH
Department of Radiology, Westchester County Medical Center, Valhalla, NY 10595, USA.
Shah
P M
PM
Wong
J
J
Babu
S C
SC
Rozenblit
G
G
Poplausky
M R
MR
D000368:Aged; D000792:Angiography / Q000009:adverse effects* / Q000379:methods; D002245:Carbon Dioxide / Q000009:adverse effects*; D003287:Contrast Media / Q000009:adverse effects*; D017809:Fatal Outcome; D006801:Humans; D007238:Infarction / Q000209:etiology*; D007422:Intestines / Q000098:blood supply*; D008297:Male; D012206:Rhabdomyolysis / Q000209:etiology*; D017445:Skin Diseases, Vascular / Q000209:etiology*
D003287:Contrast Media; D002245:Carbon Dioxide