Carbon dioxide cone-beam computed tomography for the technical assessment of endovascular aortic intervention

IF 0.7 Q4 SURGERY Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-07-22 DOI:10.1016/j.jvscit.2024.101580

Michele Antonello MD, PhD, Marco James Bilato MD, Sabrina Menara MD, Franco Grego MD, Michele Piazza MD, Francesco Squizzato MD

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Abstract

Cone-beam computed tomography (CBCT) is widely used for the technical assessment of standard and complex endovascular aortic interventions. Use of iodinated contrast in CBCT imaging might provide useful additional information; however, this also increases the procedural contrast dose, which may cause renal function deterioration, and the radiation exposure. We describe the technique and feasibility of carbon-dioxide (CO₂)-enhanced CBCT for the technical assessment of standard and complex endovascular aortic repair. In our experience CO₂-CBCT had no related adverse events and provided satisfactory imaging quality to assess endograft integrity, vessels patency, and was safely performed in case of severe chronic renal insufficiency.

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二氧化碳锥形束计算机断层扫描用于血管内主动脉介入治疗的技术评估

锥形束计算机断层扫描（CBCT）被广泛用于标准和复杂的血管内主动脉介入治疗的技术评估。在 CBCT 成像中使用碘对比剂可能会提供有用的额外信息，但这也会增加手术对比剂剂量，可能会导致肾功能恶化，并增加辐射量。我们介绍了二氧化碳（CO2）增强 CBCT 用于标准和复杂主动脉内膜修复术技术评估的技术和可行性。根据我们的经验，CO2-CBCT 没有相关的不良反应，能提供令人满意的成像质量来评估内移植物的完整性和血管的通畅性，而且在严重慢性肾功能不全的情况下也能安全进行。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.