Safety and Efficacy of Endovascular Therapy With a Simple Homemade Carbon Dioxide Delivery System in Patients With Ileofemoral Artery Diseases
Background: Carbon dioxide (CO2) has been used as an arterial contrast agent for high-risk patients who were allergic to iodinated contrast material and for those with chronic kidney disease (CKD). The feasibility, safety, imaging quality and therapeutic role of CO2 angiography in the endovascular t...
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| Veröffentlicht in: | Circulation Journal 2012, Vol.76(7), pp.1722-1728 |
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| creator | Kawasaki, Daizo Fujii, Kenichi Fukunaga, Masashi Masutani, Motomaru Nakata, Aya Masuyama, Tohru |
| description | Background: Carbon dioxide (CO2) has been used as an arterial contrast agent for high-risk patients who were allergic to iodinated contrast material and for those with chronic kidney disease (CKD). The feasibility, safety, imaging quality and therapeutic role of CO2 angiography in the endovascular therapy (EVT) for patients with CKD was evaluated. Methods and Results: EVT was performed in 107 consecutive patients with iliofemoral artery disease (148 limbs; mean age, 73±9 years) who were admitted to our hospital from January 2010 to April 2011. Intravascular ultrasound (IVUS)-guided EVT with CO2 was applied for the treatment of 50 patients (70 limbs) with CKD (group 1). IVUS-guided EVT with iodinated contrast media was applied for the treatment of 57 patients (78 limbs) without CKD (group 2). CO2 was injected by hand using a simple homemade delivery system. The overall technical success was 100% in both groups without any major complication. Preprocedure and postprocedure ankle-brachial indices significantly improved in the both groups (0.93±0.11 vs. 0.59±0.19, P |
| doi_str_mv | 10.1253/circj.CJ-11-1382 |
| format | Article |
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The feasibility, safety, imaging quality and therapeutic role of CO2 angiography in the endovascular therapy (EVT) for patients with CKD was evaluated. Methods and Results: EVT was performed in 107 consecutive patients with iliofemoral artery disease (148 limbs; mean age, 73±9 years) who were admitted to our hospital from January 2010 to April 2011. Intravascular ultrasound (IVUS)-guided EVT with CO2 was applied for the treatment of 50 patients (70 limbs) with CKD (group 1). IVUS-guided EVT with iodinated contrast media was applied for the treatment of 57 patients (78 limbs) without CKD (group 2). CO2 was injected by hand using a simple homemade delivery system. The overall technical success was 100% in both groups without any major complication. Preprocedure and postprocedure ankle-brachial indices significantly improved in the both groups (0.93±0.11 vs. 0.59±0.19, P<0.01; 0.95±0.13 vs. 0.62±0.22, P<0.01, respectively). All of the CO2 arteriograms were good or acceptable imaging quality if assessed by 2 independent observers. Conclusions: CO2 arteriograms, using an inexpensive simple homemade delivery system, are feasible and safe in patients with CKD in the evaluation and for EVT of iliofemoral artery disease. (Circ J 2012; 76: 1722–1728)</description><identifier>ISSN: 1346-9843</identifier><identifier>EISSN: 1347-4820</identifier><identifier>DOI: 10.1253/circj.CJ-11-1382</identifier><identifier>PMID: 22504126</identifier><language>eng</language><publisher>Japan: The Japanese Circulation Society</publisher><subject>Aged ; Aged, 80 and over ; Ankle Brachial Index ; Carbon Dioxide - administration & dosage ; Carbon Dioxide - adverse effects ; Carbon dioxide angiography ; Chi-Square Distribution ; Chronic Disease ; Chronic kidney disease ; Contrast Media - administration & dosage ; Contrast Media - adverse effects ; Endovascular Procedures - adverse effects ; Endovascular Procedures - instrumentation ; Endovascular therapy ; Equipment Design ; Feasibility Studies ; Female ; Femoral Artery - diagnostic imaging ; Glomerular Filtration Rate ; Humans ; Iliac Artery - diagnostic imaging ; Injections ; Japan ; Kidney Diseases - complications ; Kidney Diseases - physiopathology ; Male ; Middle Aged ; Observer Variation ; Peripheral Arterial Disease - complications ; Peripheral Arterial Disease - diagnostic imaging ; Peripheral Arterial Disease - therapy ; Predictive Value of Tests ; Radiography, Interventional - adverse effects ; Radiography, Interventional - instrumentation ; Reproducibility of Results ; Retrospective Studies ; Treatment Outcome ; Ultrasonography, Interventional</subject><ispartof>Circulation Journal, 2012, Vol.76(7), pp.1722-1728</ispartof><rights>2012 THE JAPANESE CIRCULATION SOCIETY</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c494t-327fc9743dbe22976c6d8ce0857e1c66acd0c5e8da7632e0ca1ca04e7bcf67893</citedby><cites>FETCH-LOGICAL-c494t-327fc9743dbe22976c6d8ce0857e1c66acd0c5e8da7632e0ca1ca04e7bcf67893</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,1879,4012,27906,27907,27908</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22504126$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kawasaki, Daizo</creatorcontrib><creatorcontrib>Fujii, Kenichi</creatorcontrib><creatorcontrib>Fukunaga, Masashi</creatorcontrib><creatorcontrib>Masutani, Motomaru</creatorcontrib><creatorcontrib>Nakata, Aya</creatorcontrib><creatorcontrib>Masuyama, Tohru</creatorcontrib><title>Safety and Efficacy of Endovascular Therapy With a Simple Homemade Carbon Dioxide Delivery System in Patients With Ileofemoral Artery Diseases</title><title>Circulation Journal</title><addtitle>Circ J</addtitle><description>Background: Carbon dioxide (CO2) has been used as an arterial contrast agent for high-risk patients who were allergic to iodinated contrast material and for those with chronic kidney disease (CKD). The feasibility, safety, imaging quality and therapeutic role of CO2 angiography in the endovascular therapy (EVT) for patients with CKD was evaluated. Methods and Results: EVT was performed in 107 consecutive patients with iliofemoral artery disease (148 limbs; mean age, 73±9 years) who were admitted to our hospital from January 2010 to April 2011. Intravascular ultrasound (IVUS)-guided EVT with CO2 was applied for the treatment of 50 patients (70 limbs) with CKD (group 1). IVUS-guided EVT with iodinated contrast media was applied for the treatment of 57 patients (78 limbs) without CKD (group 2). CO2 was injected by hand using a simple homemade delivery system. The overall technical success was 100% in both groups without any major complication. Preprocedure and postprocedure ankle-brachial indices significantly improved in the both groups (0.93±0.11 vs. 0.59±0.19, P<0.01; 0.95±0.13 vs. 0.62±0.22, P<0.01, respectively). All of the CO2 arteriograms were good or acceptable imaging quality if assessed by 2 independent observers. Conclusions: CO2 arteriograms, using an inexpensive simple homemade delivery system, are feasible and safe in patients with CKD in the evaluation and for EVT of iliofemoral artery disease. (Circ J 2012; 76: 1722–1728)</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Ankle Brachial Index</subject><subject>Carbon Dioxide - administration & dosage</subject><subject>Carbon Dioxide - adverse effects</subject><subject>Carbon dioxide angiography</subject><subject>Chi-Square Distribution</subject><subject>Chronic Disease</subject><subject>Chronic kidney disease</subject><subject>Contrast Media - administration & dosage</subject><subject>Contrast Media - adverse effects</subject><subject>Endovascular Procedures - adverse effects</subject><subject>Endovascular Procedures - instrumentation</subject><subject>Endovascular therapy</subject><subject>Equipment Design</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Femoral Artery - diagnostic imaging</subject><subject>Glomerular Filtration Rate</subject><subject>Humans</subject><subject>Iliac Artery - diagnostic imaging</subject><subject>Injections</subject><subject>Japan</subject><subject>Kidney Diseases - complications</subject><subject>Kidney Diseases - physiopathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Observer Variation</subject><subject>Peripheral Arterial Disease - complications</subject><subject>Peripheral Arterial Disease - diagnostic imaging</subject><subject>Peripheral Arterial Disease - therapy</subject><subject>Predictive Value of Tests</subject><subject>Radiography, Interventional - adverse effects</subject><subject>Radiography, Interventional - instrumentation</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><subject>Ultrasonography, Interventional</subject><issn>1346-9843</issn><issn>1347-4820</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkU1v1DAQhiMEoqVw54R85JLir8TJscpuaatKIG0RR2vWGbNeOfFieyvyJ_jNZLtLe5kP6ZnnMG9RfGT0kvFKfDEumu1ld1cyVjLR8FfFORNSlbLh9PXTXJdtI8VZ8S6lLaW8pVX7tjjjvKKS8fq8-LsCi3kiMPZkaa0zYCYSLFmOfXiEZPYeInnYYITdRH66vCFAVm7YeSQ3YcABeiQdxHUYycKFP25eF-jdI8aJrKaUcSBuJN8hOxxzOhpuPQaLQ4jgyVXMB3ThEkLC9L54Y8En_HDqF8WP6-VDd1Pef_t6213dl0a2MpeCK2taJUW_Rs5bVZu6bwzSplLITF2D6ampsOlB1YIjNcAMUIlqbWytmlZcFJ-P3l0Mv_eYsh5cMug9jBj2STPKZStUxdWM0iNqYkgpotW76AaI0wzpQwr6KQXd3WnG9CGF-eTTyb5fD9g_H_x_-wxcH4FtyvALnwGI2RmPJ6OqtTqUF_MLsIGocRT_AJhmn5E</recordid><startdate>2012</startdate><enddate>2012</enddate><creator>Kawasaki, Daizo</creator><creator>Fujii, Kenichi</creator><creator>Fukunaga, Masashi</creator><creator>Masutani, Motomaru</creator><creator>Nakata, Aya</creator><creator>Masuyama, Tohru</creator><general>The Japanese Circulation Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2012</creationdate><title>Safety and Efficacy of Endovascular Therapy With a Simple Homemade Carbon Dioxide Delivery System in Patients With Ileofemoral Artery Diseases</title><author>Kawasaki, Daizo ; Fujii, Kenichi ; Fukunaga, Masashi ; Masutani, Motomaru ; Nakata, Aya ; Masuyama, Tohru</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c494t-327fc9743dbe22976c6d8ce0857e1c66acd0c5e8da7632e0ca1ca04e7bcf67893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Ankle Brachial Index</topic><topic>Carbon Dioxide - administration & dosage</topic><topic>Carbon Dioxide - adverse effects</topic><topic>Carbon dioxide angiography</topic><topic>Chi-Square Distribution</topic><topic>Chronic Disease</topic><topic>Chronic kidney disease</topic><topic>Contrast Media - administration & dosage</topic><topic>Contrast Media - adverse effects</topic><topic>Endovascular Procedures - adverse effects</topic><topic>Endovascular Procedures - instrumentation</topic><topic>Endovascular therapy</topic><topic>Equipment Design</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Femoral Artery - diagnostic imaging</topic><topic>Glomerular Filtration Rate</topic><topic>Humans</topic><topic>Iliac Artery - diagnostic imaging</topic><topic>Injections</topic><topic>Japan</topic><topic>Kidney Diseases - complications</topic><topic>Kidney Diseases - physiopathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Observer Variation</topic><topic>Peripheral Arterial Disease - complications</topic><topic>Peripheral Arterial Disease - diagnostic imaging</topic><topic>Peripheral Arterial Disease - therapy</topic><topic>Predictive Value of Tests</topic><topic>Radiography, Interventional - adverse effects</topic><topic>Radiography, Interventional - instrumentation</topic><topic>Reproducibility of Results</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><topic>Ultrasonography, Interventional</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kawasaki, Daizo</creatorcontrib><creatorcontrib>Fujii, Kenichi</creatorcontrib><creatorcontrib>Fukunaga, Masashi</creatorcontrib><creatorcontrib>Masutani, Motomaru</creatorcontrib><creatorcontrib>Nakata, Aya</creatorcontrib><creatorcontrib>Masuyama, Tohru</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kawasaki, Daizo</au><au>Fujii, Kenichi</au><au>Fukunaga, Masashi</au><au>Masutani, Motomaru</au><au>Nakata, Aya</au><au>Masuyama, Tohru</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Safety and Efficacy of Endovascular Therapy With a Simple Homemade Carbon Dioxide Delivery System in Patients With Ileofemoral Artery Diseases</atitle><jtitle>Circulation Journal</jtitle><addtitle>Circ J</addtitle><date>2012</date><risdate>2012</risdate><volume>76</volume><issue>7</issue><spage>1722</spage><epage>1728</epage><pages>1722-1728</pages><issn>1346-9843</issn><eissn>1347-4820</eissn><abstract>Background: Carbon dioxide (CO2) has been used as an arterial contrast agent for high-risk patients who were allergic to iodinated contrast material and for those with chronic kidney disease (CKD). The feasibility, safety, imaging quality and therapeutic role of CO2 angiography in the endovascular therapy (EVT) for patients with CKD was evaluated. Methods and Results: EVT was performed in 107 consecutive patients with iliofemoral artery disease (148 limbs; mean age, 73±9 years) who were admitted to our hospital from January 2010 to April 2011. Intravascular ultrasound (IVUS)-guided EVT with CO2 was applied for the treatment of 50 patients (70 limbs) with CKD (group 1). IVUS-guided EVT with iodinated contrast media was applied for the treatment of 57 patients (78 limbs) without CKD (group 2). CO2 was injected by hand using a simple homemade delivery system. The overall technical success was 100% in both groups without any major complication. Preprocedure and postprocedure ankle-brachial indices significantly improved in the both groups (0.93±0.11 vs. 0.59±0.19, P<0.01; 0.95±0.13 vs. 0.62±0.22, P<0.01, respectively). All of the CO2 arteriograms were good or acceptable imaging quality if assessed by 2 independent observers. Conclusions: CO2 arteriograms, using an inexpensive simple homemade delivery system, are feasible and safe in patients with CKD in the evaluation and for EVT of iliofemoral artery disease. (Circ J 2012; 76: 1722–1728)</abstract><cop>Japan</cop><pub>The Japanese Circulation Society</pub><pmid>22504126</pmid><doi>10.1253/circj.CJ-11-1382</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Aged, 80 and over Ankle Brachial Index Carbon Dioxide - administration & dosage Carbon Dioxide - adverse effects Carbon dioxide angiography Chi-Square Distribution Chronic Disease Chronic kidney disease Contrast Media - administration & dosage Contrast Media - adverse effects Endovascular Procedures - adverse effects Endovascular Procedures - instrumentation Endovascular therapy Equipment Design Feasibility Studies Female Femoral Artery - diagnostic imaging Glomerular Filtration Rate Humans Iliac Artery - diagnostic imaging Injections Japan Kidney Diseases - complications Kidney Diseases - physiopathology Male Middle Aged Observer Variation Peripheral Arterial Disease - complications Peripheral Arterial Disease - diagnostic imaging Peripheral Arterial Disease - therapy Predictive Value of Tests Radiography, Interventional - adverse effects Radiography, Interventional - instrumentation Reproducibility of Results Retrospective Studies Treatment Outcome Ultrasonography, Interventional |
| title | Safety and Efficacy of Endovascular Therapy With a Simple Homemade Carbon Dioxide Delivery System in Patients With Ileofemoral Artery Diseases |
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