DIGITAL SUBTRACTION PHLEBOGRAPHY USING A “HOMEMADE” CARBON DIOXIDE DELIVERY SYSTEM
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.48750/acv.104 |
Resumo: | Introduction and objectives: Carbon dioxide (CO2) is a non-nephrotoxic contrast media. Due its advantages and to the lack of dedicated CO2 delivery system in some hospitals, homemade CO2 delivery systems have been developed in several institutions. The authors describe a CO2 “homemade” delivery system developed with resources available in the author’s hospital and present the preliminary results of its application. Material and Methods: A disposable aluminum cylinder containing 99.9% pure CO2 is connected to a laparoscopic tower. In the connecting tube, between the laparoscopic tower and a 50 mL syringe there is a filter. The syringe is connected to the connecting tube and to the diagnostic catheter with three three-way stopcock fixed together in line. Results: From October 2015 and February 2016, six phlebographies, in four patients with dysfunctional arteriovenous fistulas were performed. The procedures were: angioplasty at the cephalic arch stenosis (one intervention); angioplasty at multiple focal stenosis at the basilic vein (two interventions) and angioplasty at multiple focal stenosis at the basilic vein (three interventions). A case of cerebral gas embolism was recorded. Conclusion: The delivery system we use is useful to maintain the patency of arteriovenous fistula in pre-dialysis patient. However, CO2 injection rate should be reduced, to avoid cerebral gas embolism. |
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DIGITAL SUBTRACTION PHLEBOGRAPHY USING A “HOMEMADE” CARBON DIOXIDE DELIVERY SYSTEMFLEBOGRAFIA DE SUBTRAÇÃO DIGITAL UTILIZANDO UM SISTEMA DE LIBERTAÇÃO DE DIÓXIDO DE CARBONO “HOMEMADE”phlebographycarbon dioxidehomemadeflebografiadióxido de carbono“homemade”Introduction and objectives: Carbon dioxide (CO2) is a non-nephrotoxic contrast media. Due its advantages and to the lack of dedicated CO2 delivery system in some hospitals, homemade CO2 delivery systems have been developed in several institutions. The authors describe a CO2 “homemade” delivery system developed with resources available in the author’s hospital and present the preliminary results of its application. Material and Methods: A disposable aluminum cylinder containing 99.9% pure CO2 is connected to a laparoscopic tower. In the connecting tube, between the laparoscopic tower and a 50 mL syringe there is a filter. The syringe is connected to the connecting tube and to the diagnostic catheter with three three-way stopcock fixed together in line. Results: From October 2015 and February 2016, six phlebographies, in four patients with dysfunctional arteriovenous fistulas were performed. The procedures were: angioplasty at the cephalic arch stenosis (one intervention); angioplasty at multiple focal stenosis at the basilic vein (two interventions) and angioplasty at multiple focal stenosis at the basilic vein (three interventions). A case of cerebral gas embolism was recorded. Conclusion: The delivery system we use is useful to maintain the patency of arteriovenous fistula in pre-dialysis patient. However, CO2 injection rate should be reduced, to avoid cerebral gas embolism.Introdução e objetivos: O dióxido de carbono (CO2) é um meio de contraste que não causa nefrotoxicidade. Pelas suas vantagens e pela inexistência em alguns centros hospitalares de sistemas “dedicados” de libertação de CO2, têm sido desenvolvidos sistemas “homemade”. Os autores descrevem uma técnica de flebografia de subtração digital utilizando um sistema de libertação de CO2 desenvolvido no seu centro hospitalar. Apresentam ainda os resultados preliminares da sua aplicação. Material e métodos: Foi utilizado um cilindro de CO2 medicinal (99,9% de pureza), conectado a um insuflador de laparoscopia. O insuflador de laparoscopia está conectado a um tubo de insuflação, que por sua vez está ligado a um filtro. O filtro está ligado a um sistema venoso e este a três torneiras de três vias alinhadas em série, conectadas a uma seringa de 50 mL e ao cateter de diagnóstico. Resultados: De outubro de 2015 a fevereiro de 2016 foram realizadas seis flebografias em quatro doentes com fístulas arteriovenosas disfuncionantes. Os procedimentos realizados foram: angioplastia de estenose da crossa da cefálica (uma intervenção); angioplastia de estenoses focais ao longo da veia basílica (duas intervenções), angioplastia de múltiplas estenoses ao longo da veia cefálica (três intervenções). Foi registada uma complicação: embolia cerebral gasosa. Conclusões: O sistema de libertação de CO2 que usamos é uma mais valia nos doentes insuficientes renais em pré-diálise. Contudo a velocidade de injeção deverá ser adaptada para evitar embolia cerebral gasosa.Sociedade Portuguesa de Angiologia e Cirurgia Vascular2018-12-02T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.48750/acv.104oai:ojs.acvjournal.com:article/104Angiologia e Cirurgia Vascular; Vol. 14 No. 1 (2018): March; 9-12Angiologia e Cirurgia Vascular; Vol. 14 N.º 1 (2018): Março; 9-122183-00961646-706Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://acvjournal.com/index.php/acv/article/view/104https://doi.org/10.48750/acv.104http://acvjournal.com/index.php/acv/article/view/104/76Copyright (c) 2018 Angiologia e Cirurgia Vascularinfo:eu-repo/semantics/openAccessFerreira, JoanaPinto, VâniaMorais, JorgeMendes, LígiaMartins, ArturMoniz, JoséPinto, MartaSousa, Pedro2022-05-23T15:10:01Zoai:ojs.acvjournal.com:article/104Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T14:57:30.314086Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
DIGITAL SUBTRACTION PHLEBOGRAPHY USING A “HOMEMADE” CARBON DIOXIDE DELIVERY SYSTEM FLEBOGRAFIA DE SUBTRAÇÃO DIGITAL UTILIZANDO UM SISTEMA DE LIBERTAÇÃO DE DIÓXIDO DE CARBONO “HOMEMADE” |
title |
DIGITAL SUBTRACTION PHLEBOGRAPHY USING A “HOMEMADE” CARBON DIOXIDE DELIVERY SYSTEM |
spellingShingle |
DIGITAL SUBTRACTION PHLEBOGRAPHY USING A “HOMEMADE” CARBON DIOXIDE DELIVERY SYSTEM Ferreira, Joana phlebography carbon dioxide homemade flebografia dióxido de carbono “homemade” |
title_short |
DIGITAL SUBTRACTION PHLEBOGRAPHY USING A “HOMEMADE” CARBON DIOXIDE DELIVERY SYSTEM |
title_full |
DIGITAL SUBTRACTION PHLEBOGRAPHY USING A “HOMEMADE” CARBON DIOXIDE DELIVERY SYSTEM |
title_fullStr |
DIGITAL SUBTRACTION PHLEBOGRAPHY USING A “HOMEMADE” CARBON DIOXIDE DELIVERY SYSTEM |
title_full_unstemmed |
DIGITAL SUBTRACTION PHLEBOGRAPHY USING A “HOMEMADE” CARBON DIOXIDE DELIVERY SYSTEM |
title_sort |
DIGITAL SUBTRACTION PHLEBOGRAPHY USING A “HOMEMADE” CARBON DIOXIDE DELIVERY SYSTEM |
author |
Ferreira, Joana |
author_facet |
Ferreira, Joana Pinto, Vânia Morais, Jorge Mendes, Lígia Martins, Artur Moniz, José Pinto, Marta Sousa, Pedro |
author_role |
author |
author2 |
Pinto, Vânia Morais, Jorge Mendes, Lígia Martins, Artur Moniz, José Pinto, Marta Sousa, Pedro |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Ferreira, Joana Pinto, Vânia Morais, Jorge Mendes, Lígia Martins, Artur Moniz, José Pinto, Marta Sousa, Pedro |
dc.subject.por.fl_str_mv |
phlebography carbon dioxide homemade flebografia dióxido de carbono “homemade” |
topic |
phlebography carbon dioxide homemade flebografia dióxido de carbono “homemade” |
description |
Introduction and objectives: Carbon dioxide (CO2) is a non-nephrotoxic contrast media. Due its advantages and to the lack of dedicated CO2 delivery system in some hospitals, homemade CO2 delivery systems have been developed in several institutions. The authors describe a CO2 “homemade” delivery system developed with resources available in the author’s hospital and present the preliminary results of its application. Material and Methods: A disposable aluminum cylinder containing 99.9% pure CO2 is connected to a laparoscopic tower. In the connecting tube, between the laparoscopic tower and a 50 mL syringe there is a filter. The syringe is connected to the connecting tube and to the diagnostic catheter with three three-way stopcock fixed together in line. Results: From October 2015 and February 2016, six phlebographies, in four patients with dysfunctional arteriovenous fistulas were performed. The procedures were: angioplasty at the cephalic arch stenosis (one intervention); angioplasty at multiple focal stenosis at the basilic vein (two interventions) and angioplasty at multiple focal stenosis at the basilic vein (three interventions). A case of cerebral gas embolism was recorded. Conclusion: The delivery system we use is useful to maintain the patency of arteriovenous fistula in pre-dialysis patient. However, CO2 injection rate should be reduced, to avoid cerebral gas embolism. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-12-02T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.48750/acv.104 oai:ojs.acvjournal.com:article/104 |
url |
https://doi.org/10.48750/acv.104 |
identifier_str_mv |
oai:ojs.acvjournal.com:article/104 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://acvjournal.com/index.php/acv/article/view/104 https://doi.org/10.48750/acv.104 http://acvjournal.com/index.php/acv/article/view/104/76 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Angiologia e Cirurgia Vascular info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Angiologia e Cirurgia Vascular |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
dc.source.none.fl_str_mv |
Angiologia e Cirurgia Vascular; Vol. 14 No. 1 (2018): March; 9-12 Angiologia e Cirurgia Vascular; Vol. 14 N.º 1 (2018): Março; 9-12 2183-0096 1646-706X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799129848720916480 |