Carbon dioxide (CO2) digital subtraction angiography for transjugular intrahepatic portsystemic shunt procedures.

被引：6

作者：

Wilhelm, K ^{[1
]}

Textor, J ^{[1
]}

Strunk, H ^{[1
]}

Brensing, KA ^{[1
]}

Schuller, H ^{[1
]}

Schild, H ^{[1
]}

机构：

[1] UNIV BONN,MED KLIN & POLIKLIN,INNERE MED ABT,SCHWERPUNKT GASTROENTEROL HEPATOL HAMATOL ONKOL N,D-5300 BONN,GERMANY

来源：

ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN | 1997年 / 166卷 / 03期

关键词：

CO2; carbon dioxide; contrast media; TIPS; wedged hepatic venography;

D O I：

10.1055/s-2007-1015416

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Purpose: To determine the efficacy of CO2 as negative contrast medium compared with iodinated contrast medium in creation and control of TIPS. Material and Methods: CO2 was used during TIPS procedures in 33 patients. In 21 patients a wedged hepatic venography was obtained for planning the shunt tract. Additional TIPS-control DSA was performed in 42 cases by direct portal venography to verify the TIPS function and patency. In all cases CO2 gas was used in addition to iodinated contrast medium. Results: CO2 produced excellent wedged hepatic venographys in all patients. Visualisation of the portal veins and collaterals was superior to iodinated contrast medium. The TIPS-control DSA performed with CO2 were comparable to those performed with iodinated contrast medium. Complications were not observed in our study. Conclusion: CO2 is an effective contrast medium for TIPS procedures. In particular the visualisation of portal veins performed by CO2-wedged hepatic venography is superior to iodinated contrast medium.

引用

页码：238 / 242

页数：7

共 21 条

[1] NEPHROTOXICITY OF CONTRAST-MEDIA [J].