Carbon dioxide and gadopentetate dimeglumine venography to guide percutaneous vertebroplasty.
Percutaneous vertebroplasty with polymethylmethacrylate (PMMA) is an effective procedure for relieving pain due to vertebral body compression fractures. The technique employs iodinated contrast venography to exclude needle placement directly within the basivertebral complex. We present two cases in which carbon dioxide (CO2) and gadopentetate dimeglumine venography was used to guide percutaneous vertebroplasty in patients with a contraindication to iodinated contrast.
Center for Vascular and Interventional Radiology, Department of Radiology, St. Vincent Mercy Medical Center, Toledo, OH 43608, USA. jkmcgraw@hotmail.com
J K
JK
McGraw
B T
BT
Strnad
S B
SB
Patzik
J S
JS
Silber
A L
AL
LaValley
J M
JM
Boorstein
D001672:Biocompatible Materials; D002245:Carbon Dioxide / Q000008:administration & dosage; D003287:Contrast Media / Q000008:administration & dosage*; D005260:Female; D019786:Gadolinium DTPA / Q000008:administration & dosage; D006801:Humans; D007275:Injections, Intravenous; D017116:Low Back Pain / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000098:blood supply / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology; D008279:Magnetic Resonance Imaging / Q000379:methods; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000379:methods; D010690:Phlebography / Q000379:methods*; D019904:Polymethyl Methacrylate / Q000627:therapeutic use; D011877:Radionuclide Imaging; D016103:Spinal Fractures / Q000150:complications / Q000175:diagnosis / Q000601:surgery*
D001672:Biocompatible Materials; D003287:Contrast Media; D002245:Carbon Dioxide; D019904:Polymethyl Methacrylate; D019786:Gadolinium DTPA