The use of dextran and carbon dioxide for optical coherence tomography in the superficial femoral artery.

Autor: Allemang MT; Department of Surgery, University Hospitals Case Medical Center, Cleveland, Ohio., Lakin RO; Division of Vascular Surgery and Endovascular Therapy, University Hospitals Case Medical Center, Cleveland, Ohio., Kanaya T; Cardiovascular Imaging Core Laboratory, University Hospitals Case Medical Center, Cleveland, Ohio., Eslahpazir BA; Department of Physiology and Biophysics, Case Western Reserve University, Cleveland, Ohio., Bezerra HG; Department of Cardiovascular Medicine, University Hospitals Case Medical Center, Cleveland, Ohio., Kashyap VS; Division of Vascular Surgery and Endovascular Therapy, University Hospitals Case Medical Center, Cleveland, Ohio. Electronic address: vikram.kashyap@UHhospitals.org.
Jazyk: angličtina
Zdroj: Journal of vascular surgery [J Vasc Surg] 2014 Jan; Vol. 59 (1), pp. 238-40. Date of Electronic Publication: 2013 May 01.
DOI: 10.1016/j.jvs.2013.03.006
Abstrakt: The following case report describes using carbon dioxide (CO2) as contrast media for intravascular optical coherence tomography (OCT) imaging in the superficial femoral artery. For initial OCT imaging, 20 mL of iodinated contrast was used during automated pullback. This was followed by 20 mL of hand-injected dextran 40 in normal saline, and finally hand-injected 50 mL of CO2. CO2 gave comparable erythrocyte clearance and imaging quality compared with dextran and iodinated contrast. To our knowledge, this is the first reported case using both dextran and CO2 with OCT imaging of the superficial femoral artery. Using CO2 is a viable option in patients with contraindications to contrast or dextran use.
(Copyright © 2014 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.)
Databáze: MEDLINE