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

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

Journal of Vascular Surgery Cases and Innovative Techniques (Oct 2024)

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

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

Affiliations

Michele Antonello, MD, PhD: Vascular and Endovascular Surgery Division, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padova University, Padova, Italy
Marco James Bilato, MD: Vascular and Endovascular Surgery Division, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padova University, Padova, Italy
Sabrina Menara, MD: Vascular and Endovascular Surgery Division, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padova University, Padova, Italy
Franco Grego, MD: Vascular and Endovascular Surgery Division, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padova University, Padova, Italy
Michele Piazza, MD: Vascular and Endovascular Surgery Division, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padova University, Padova, Italy
Francesco Squizzato, MD: Correspondence: Francesco Squizzato, MD, Vascular and Endovascular Surgery Division, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padova University, School of Medicine, Via Giustiniani 2 35125, Padova, Italy; Vascular and Endovascular Surgery Division, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padova University, Padova, Italy

Journal volume & issue: Vol. 10, no. 5
p. 101580

Abstract

Read online

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.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

About the journal

Abstract

Keywords