Abstract
Fourteen pigs with an average weight of 17 kg were used in this study. Under general anesthesia and magnification 1–3 ccm/kg of carbon dioxide were administered in the lymph vessels of the front and rear legs. Imaging of the peripheral lymph vessels, lymph nodes and the thoracic duct was achieved with digital subtraction angiography. The quality of lymphangiography was satisfactory and comparable with that of the standard non-ionic contrast agent. It is anticipated that further technical evolution will permit the application of CO2/DSA lymphangiography to man. Carbon dioxide is non-nephrotoxic and is non-allergic; it is inexpensive, can be administered in unlimited quantity and is quickly eliminated via the pulmonary system.
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References
Cavo JJ, Trindade E, McGregor M (1991) The risks of death and of severe non-fatal reactions with high versus low osmolarity contrast media: a metaanalysis. AIR 156:825–832
Sullivan KL, Bonn J, Shapiro MJ, Gardiner A (1995) Venography with carbon dioxide as a contrast agent. Cardiovasc Intervent Radiol 18:141–145
Seeger JM, Self S, Harward TRS et al. (1993) Carbon dioxide gas as an arterial contrast agent. Ann Surg 217:688–698
Kerns SR, Hawkins IF Jr (1995) Carbon dioxide digital subtraction angiography. Expanding applications and technical evolution. Am J Radiol 164:735–741
Kerns SR, Hawkins IF Jr, Sabatelli FW (1995) Current status of carbon dioxide angiography. Radiol Clin North Am 33:15–29
Hawkins IW (1982) Carbon dioxide digital subtraction arteriography. Am J Roentgenol 139:19–24
Krasny R, Hollmann JP, Guenther W (1987) Erste Erfahrungen mit CO2 als gasförmiges Kontrastmittel in der DSA. Fortschr Roentgenstr 146:450–455
Weaver FA, Pentecost MJ, Yellin AE et al. (1991) Clinical applications of carbon dioxide/digital subtraction arteriography. J Vasc Surg 13:266–273
Bettmann MA, D'Agostino R, Juravsky LI (1994) Carbon dioxide as an angiography contrast agent. Invest Radiol 29:545–546
Hahn ST, Pfamatter T, Cho KJ (1955) Carbon dioxide gas as a venous contrast agent to guide upper-arm insertion of central venous catheters. Cardiovasc Intervent Radiol 18:146–149
Oppenheimer MJ, Durant DM, Stauffer H et al (1956) Cardiovascular respiratory effects and associated changes in blood chemistry. Am J Physiol 186:325–334
Moore RM, Braselton CW (1940) Injections of air and carbon dioxide into a pulmonary vein. Ann Surg 112:212–218
Hipona FA, Park WM (1967) Capnosplenoportography: assessment of portal vein patency in dogs with carbon dioxide gas. AJR 99:606–611
Gordenberg DB, Brogton BG (1967) Hepatic venography with carbon dioxide. Maryland State Med J 17:79–80
Bendib MBT, Toumi M, Boudjellab AH (1977) Carboxyangiographic et carboxyangiographic clargi en cardiologic. Ann Radiol 20:673–686
Stauffer HM, Durantt M, Oppenheimer MJ (1956) Gas embolism: roentgenologic considerations including the experimental use of carbon dioxide as an intracardiac contrast material. Radiology 66:686–692
Durant TM, Stauffer HM, Oppenheimer MJ, Paul RE (1957) The safety of intravascular carbon dioxide and its use for roentgenologic visualization of intracardiac structures. Ann Intern Med 47:191–201
Scatliff JH, Kummer AJ, Janzen AH (1959) The diagnosis of pericardial effusion with intracardiac carbon dioxide. Radiology 73:871–874
Hawkins IF, Caridi JG, Weingarten KE (1996) Carbon dioxide digital subtraction angiography versus iodinated contrast imaging. 5th Internal Course on Vascular and Interventional Radiology as Therapeutic Alternative, Las Palmas — Spain p 145–175
Schmitz-Rode T, Alzen G, Gunther RW, Pott H (1993) CO2 controlled injection system experiments in dogs. Cardiovasc Intervent Radiol 16:297–302
Miller FJ, Mineau DE, Koehler PR et al (1983) Clinical intraarterial digital subtraction imaging. Radiology 148:273–278
Coffey R, Quisling RG, Mickle JP et al. (1984) The cerebrovascular effects of intraarterial CO2 in quantities required for diagnostic imaging. Radiology 151:405–410
Shifrin S, Plich WB, Verstandig AG, Gomori M (1990) Cerebral angiography with gaseous carbon dioxide CO2. J Cardiovase Surg 31:603–606
Harward IF, Smith S, Hawkins RVT, Seeger JM (1993) Follow-up evaluation after renal artery bypass surgery with use of carbon dioxide arteriography and color-flow duplex scanning. J Vase Surg 18:23–30
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Dimakakos, P.B., Papasavval, M., Stefanopoulos, T. et al. First experimental study of carbon dioxide digital subtraction lymphangiography. Eur J Plast Surg 20, 132–135 (1997). https://doi.org/10.1007/BF01002046
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DOI: https://doi.org/10.1007/BF01002046